Experienced Customer Service Representative - Behavioral Health (Monday-Friday 10:30AM-7:00PM EST)

Join arenaflex in shaping the future of health care and making a meaningful difference in the lives of millions of Americans. At arenaflex, we're dedicated to building a world of health around every consumer and surrounding ourselves with passionate colleagues who are committed to transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and over 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate.

About the Role

arenaflex is seeking an experienced Customer Service Representative to join our Behavioral Health team. As a key member of our team, you will provide advocate care to assist members with a clear path to care, claims understanding and resolution, and educate them with online resources. You will guide members through their plan of benefits, Aetna policy, and procedures, as well as have knowledge of resources to comply with any regulatory guidelines.

Key Responsibilities

* Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.

• Takes accountability to fully understand the member's needs by building a trusting and caring relationship with the member.
• Anticipates customer needs.
• Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
• Performs financial data maintenance as necessary.
• Explains member's rights and responsibilities in accordance with contract.

Schedule and Work Environment

* Schedule: Monday-Friday 10:30 AM-7:00 PM EST

• Schedules subject to change at any time with advanced notice due to business need.
• Holiday/PTO Requirements: As a 24-hour call center operation, we will treat holidays as normal working business days, unless you have been approved for time off. This means you would work your normal shift if the Company Observed Holiday falls on your normal workday. No PTO available the first 45 days of employment.
• Training Requirements: First six weeks of employment will be training on Monday-Friday 9:00 AM-5:30 PM EST.

Required Qualifications

* 1+ years of experience in call center environment.

• Experience using Microsoft Office products, specifically Excel, Outlook, and Word.
• High School Diploma or GED.

Preferred Qualifications

* Previous Behavioral Health, Medical, or Insurance background.

• Experience working from home in a remote role.

Skills and Competencies

* Excellent communication and interpersonal skills.

• Ability to work in a fast-paced environment and prioritize tasks effectively.
• Strong problem-solving and analytical skills.
• Ability to maintain confidentiality and handle sensitive information.
• Strong customer service skills and ability to build rapport with members.

Career Growth Opportunities and Learning Benefits

* arenaflex offers a comprehensive training program to help you develop your skills and advance your career.

• Opportunities for professional growth and development, including mentorship and leadership programs.
• Access to online learning platforms and resources to enhance your skills and knowledge.

Work Environment and Company Culture

* arenaflex is committed to fostering a workplace where every colleague feels valued and that they belong.

• Our teams reflect the customers, patients, members, and communities we serve.
• We offer a comprehensive and competitive mix of pay and benefits to support the physical, emotional, and financial wellness of our colleagues and their families.

Compensation, Perks, and Benefits

* Competitive wages, with a pay range of $17.00 - $28.46 per hour.

• Comprehensive benefits package, including:

+ Affordable medical plan options + 401(k) plan with matching company contributions + Employee stock purchase plan + No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs + Benefit solutions that address the different needs and preferences of our colleagues, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility.

How to Apply

If you're passionate about making a difference in the lives of millions of Americans and are committed to transforming health care, we encourage you to apply for this exciting opportunity. Please visit our website at [arenaflex website] to learn more about our company and apply for this role.

Application Window

The application window for this opening will close on: 05/17/2025

Equal Employment Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. Apply Job! Apply for this job