Experienced Group Health Customer Service Representative – Handling Client Relationships, Case Management, and Medical Document Coordination

Introduction to arenaflex

arenaflex is a leading provider of customized Independent Medical Exam and Peer Review programs, assisting clients in reaching the appropriate medical determination as part of the claims management process. With a strong presence in the industry, we process over 200,000 insurance claims annually for top national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. Our high-performance culture and fast-paced environment make us an exciting place to work, where you can provide meaningful contributions and grow your career.

Job Overview

We are seeking a highly motivated and experienced Group Health Customer Service Representative to join our team. As a critical member of our team, you will be responsible for handling client relationships, managing cases, and coordinating medical documents. Your exceptional communication skills, attention to detail, and ability to work in a fast-paced environment will make you a valuable asset to our team. If you are looking for a challenging and rewarding role where you can make a difference, we encourage you to apply.

Key Responsibilities

• Handling receipt of new cases, including intake, review, and verification of information and requests
• Drafting cases by entering information into our system, AccessDS
• Working with clients to gather missing information and ensuring proper documentation
• Sorting, organizing, and creating medical document listings as required
• Monitoring, processing, and tracking cases to ensure deadlines are met
• Assigning new cases to physicians for review, taking into account location, reviewer availability, and client requirements
• Ensuring assigned physicians have no conflict of interest with case assignments
• Updating clients frequently on case progress and communicating with them via phone and email
• Providing excellent customer service and ensuring client satisfaction

Essential Qualifications

To be successful in this role, you will need:

• A minimum of 1 year of experience working in an administrative or clerical role in a business office environment
• Experience working in a healthcare environment (medical office, insurance claims, etc.) is preferred
• Excellent computer skills, including proficiency in Apple Operating System, Google Chrome search engine, and Gmail
• Stellar written and verbal communication skills, with a high comfort level in speaking with clients, claimants, and physicians
• Ability to maintain focus and attention to detail in a fast-paced environment
• Ability to manage multiple tasks and quickly changing priorities
• Excellent organizational skills

Preferred Qualifications

While not required, the following qualifications are preferred:

• An Associate's Degree or higher
• Experience working in a customer-facing role, with a strong focus on client satisfaction
• Knowledge of insurance claims processing and medical terminology

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Excellent problem-solving and analytical skills
• Ability to maintain confidentiality and handle sensitive information
• Strong attention to detail and organizational skills

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to the growth and development of our employees. As a Group Health Customer Service Representative, you will have access to:

• Comprehensive training programs to help you develop your skills and knowledge
• Opportunities for career advancement and professional growth
• A supportive and collaborative work environment
• Regular feedback and coaching to help you achieve your goals

Work Environment and Company Culture

arenaflex is a fast-paced and dynamic company with a high-performance culture. We value our employees and strive to create a work environment that is supportive, collaborative, and rewarding. As a remote worker, you will be expected to:

• Supply and support your own internet services
• Maintain an uninterrupted internet connection
• Work independently and manage your time effectively

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including:

• Generous Paid Time Off
• Excellent benefits package
• Apple equipment and media stipend for remote work space
• Strong training program to help you get up to speed quickly

Conclusion

If you are a motivated and experienced customer service professional looking for a challenging and rewarding role, we encourage you to apply for the Group Health Customer Service Representative position at arenaflex. With our comprehensive training programs, opportunities for career advancement, and supportive work environment, you will have the tools and resources you need to succeed. Apply today and join our team of dedicated professionals who are passionate about delivering exceptional customer service and making a difference in the lives of our clients.