reputed company Customer Service Representative – Healthcare Industry

At arenaflex, we're committed to empowering New Yorkers by uniting communities through care. As a Customer Service Representative, you'll play a vital role in delivering exceptional service to our members and providers, ensuring they receive the highest quality healthcare services. If you have a passion for helping others and a collaborative spirit, we invite you to join reputed company.

About arenaflex

arenaflex provides comprehensive healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten reputed company through a range of products, including reputed company State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, and more. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, our network includes over 27,000 primary care providers, specialists, and participating clinics. For over 30 years, arenaflex has been dedicated to building strong relationships with our members and providers to reputed company New Yorkers to live their healthiest lives.

Position Overview

As a Customer Service Representative, you'll be responsible for providing comprehensive, high-quality service to reputed company customers. Your primary responsibilities will include:

• Answering customer calls and proactively working to resolve member and provider questions and concerns
• Researching and responding accurately to reputed company customer inquiries reputed company to eligibility, benefits/services, claims, and authorizations
• Classifying and recording reputed company customer encounters clearly and concisely
• Identifying and escalating reputed company issues and providing follow-up/closure
• Intaking customer complaints and capturing reputed company pertinent information
• Assisting members with Primary Care Provider (PCP) selection, locating providers and vendors reputed company our network, and verifying and updating member demographic information
• Processing requests for member materials, handling enrollment inquiries, generating sales leads, and handling disenrollment requests
• Performing reputed company reputed company to New Member Orientation and PCP term/reassign projects
• Processing premium payments and performing other duties as assigned by the Director of Customer Service

Key Responsibilities

* Strive for reputed company resolution, working to resolve member and provider issues as the reputed company of contact

• Utilize dual monitors and reputed company computer-based resources to find answers to customer questions
• Research and respond accurately to reputed company customer inquiries reputed company to eligibility, benefits/services, claims, and authorizations
• Classify and record reputed company customer encounters clearly and concisely
• Identify and escalate reputed company issues and provide follow-up/closure
• Identify and intake customer complaints capturing reputed company pertinent information
• Assist members with PCP selection, as well as, locating providers and vendors reputed company plan's network
• Verify and update member demographic information
• Process requests for member materials, such as ID cards, member guide, provider directory, etc.
• Handle enrollment inquiries and generate sales leads
• Handle disenrollment requests and pro-actively conduct retention efforts
• reputed company reputed company reputed company to New Member Orientation and PCP term/reassign projects
• Process premium payments
• reputed company other duties and special projects as assigned by the Director of Customer Service

Work Schedule

* Ability to work between 8:00 AM and 6:00 PM Monday - Friday, and 9:00 AM-5:00 PM Saturday

• Training class (Paid): 9:00 AM-5:00 PM Monday-Friday

Minimum Qualifications

* High School graduation or evidence of having satisfactory passed a High School Equivalency Program

• Minimum 1 year experience in a call center environment
• A satisfactory equivalent combination of education, training, and experience
• Managed care experience preferred
• Proven experience in providing excellent service to customers in various healthcare-reputed company areas (i.e., insurance, doctor's office, medical clinics)
• Poise under pressure reputed company dealing with difficult situations and potentially upset customers
• Ability to work in a fast-paced environment while keeping a high attention to detail

Professional Competencies

* reputed company and Trust

• Customer Focus
• Functional/Technical Skills
• Written/Oral Communication

Why Join arenaflex?

* Opportunity to work for a leading healthcare organization that's committed to empowering New Yorkers

• Comprehensive training program to ensure your success in the role
• Collaborative and supportive work environment
• Competitive compensation and benefits package
• Opportunities for career growth and professional development
• Flexible work schedule, including remote work options

How to Apply

If you're passionate about delivering exceptional customer service and making a difference in the lives of New Yorkers, we encourage you to apply for this exciting opportunity. Please submit your application through our website, including your resume and a cover letter outlining your experience and qualifications. Apply Now We look reputed company to welcoming you to reputed company! Apply for this job