Are you a customer service professional with a passion for delivering exceptional experiences in the healthcare industry? Do you thrive in a fast-paced, dynamic environment where no two calls are ever the same? Look no further! arenaflex is seeking a highly skilled and empathetic Remote Sr. Customer Service Advocate to join our team of dedicated professionals who are committed to making a positive impact on the lives of our patients and members.
**About arenaflex**
arenaflex is a leading healthcare organization that is dedicated to providing innovative solutions and exceptional service to our patients, members, and healthcare partners. Our mission is to empower individuals to take control of their health and well-being, and to provide them with the support and resources they need to thrive. We are a remote-first company, which means that our team members work from the comfort of their own homes, allowing for greater flexibility and work-life balance.
**Job Summary**
As a Remote Sr. Customer Service Advocate, you will be responsible for delivering exceptional customer service to our patients and members through outbound and inbound calls. You will be working on various call campaigns, including attribution, disruption, appointment scheduling, medication adherence, and more. You will be interacting with patients, members, health plans, and providers, and will be required to think critically and adapt quickly to respond to their needs and concerns.
**Key Responsibilities**
* Responsible for outbound member calls to support various call campaigns, including:
+ Attribution – PCP confirmation or assist member to select PCP
+ Disruption – notify patient of health plan termination and assist with connecting to a broker
+ Appointment scheduling – assisting patient to schedule annual wellness visit
+ Medication adherence – discussing medication supply and connecting to health plan to enroll in mail order delivery
* Conducts 3-way call with patient and health plan for attribution call campaign
* Handles member inbound calls to address inquiries for Medicare FFE members for providers enrolled in ACO reach
* Completes detailed call documentation that is included in quarterly CMS reporting
* Conducts outbound ‘secret shopper’ calls to confirm appointment availability at the practice locations
* Conducts outbound calls to dialysis center to confirm required information has been submitted to CMS and captures the date of submission
* Conducts outbound calls within CMS timeframe requirements to notify members of medication approval
* Ability to clearly understand call campaign objective
* Ability to access multiple systems and navigate while interacting with patients
* Ability to shift between call campaigns without quality impacted
* Ability to think critically when determining final call disposition
* Completes accurate and detailed call documentation
* Troubleshoots system/data issues to ensure the correct population is included in the call campaign
* Escalates patient/member concerns appropriately to management
* Maintains a calm demeanor whenever interacting with patients/members
* Ability to adapt and think quickly to respond appropriately to member questions and/or concerns
* Understands target success rate of each call campaign and drives performance to meet the expectation
* Completes outbound calls timely and in accordance with the performance standards established within the customer service department
* Facilitates communication through the Language Assistance Program (for members who are not English proficient) of the various plans, and/or arranges for interpreter, including interpretive services for the hearing impaired
* Forwards calls as appropriate to supervisor or other staff for further response or follow up
* Ensures confidentiality of all hard copy, electronic, and verbal communication, and adheres to organization’s policies related to privacy and disclosure
* Promotes a positive image of the organization and the department in all aspects of communication and contact
* Participates in regular training exercises to maintain program knowledge
* Performs other duties as assigned
**Other Job Functions**
* Understand, adhere to, and implement the Company’s policies and procedures
* Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded
* Take personal responsibility for personal growth including acquiring new skills, knowledge, and information
* Engage in excellent communication which includes listening attentively and speaking professionally
* Set and complete challenging goals
* Demonstrate attention to detail and accuracy in work product
**Required Qualifications**
* Minimum Experience:
+ Minimum of 12 months experience in Customer/Member services or related function in healthcare organization preferred
+ Experience with conducting member outbound calls
+ Experience in a managed care environment preferred
+ Demonstrated experience and expertise in customer service skills: excellent verbal and written communication skills, handling difficult communications with skill to achieve positive outcome, clear and concise targeted communications focused on the customer (verbiage, language, style, etc. all may vary depending on the customer/audience)
* Bilingual (English/Spanish) preferred
* Education/Licensure:
+ Minimum educational level, high school diploma. Some college level course work preferred
**What We Offer**
* Competitive salary range: $18.40 - $22.10
* Opportunity to work in a dynamic and fast-paced environment
* Flexible remote work arrangement
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) retirement plan with company match
* Paid time off and holidays
* Professional development opportunities and training
* Collaborative and supportive team environment
**How to Apply**
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications for this role. We look forward to hearing from you!