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Experienced Medicare Member Engagement Customer Service Representative – Remote PST Time Zone Opportunity at arenaflex

Worldwide Salaried Open

At arenaflex, we are dedicated to providing exceptional healthcare services to our members, and we are seeking a highly skilled and compassionate Medicare Member Engagement Customer Service Representative to join our team. As a remote-based role, this position will work in the Pacific Standard Time (PST) zone, Monday through Friday, from 8am to 4:30pm.

About arenaflex

arenaflex is a leading healthcare organization that is committed to improving the lives of our members through innovative and personalized care. With a strong focus on customer service, we strive to create a positive and supportive environment for our members, providers, and employees. Our team is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our mission.

Job Summary

As a Medicare Member Engagement Customer Service Representative, you will play a critical role in ensuring the success of our members by providing exceptional customer service, addressing their concerns, and educating them about their plan benefits. You will be responsible for conducting outbound welcome calls to new Medicare members, handling other outbound call projects, and participating in regular member benefits training with our health plan. Your primary goal will be to develop a positive relationship with our members, anticipate their needs, and provide personalized support to ensure a seamless onboarding experience.

Key Responsibilities

* Conduct direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans

  • Serve as an advocate to ensure members are well informed about plan benefits, provider options, and how to use their new plan benefits
  • Log all contacts in a database
  • Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed
  • Participate in regular member benefits training with health plan, including the member advocate/engagement role
  • Develop a relationship with members to be the go-to person with any future issues or questions

Essential Qualifications

* High School diploma

  • 2 years of experience in customer service, consumer advocacy, and/or healthcare systems
  • Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager
  • Basic understanding of managed healthcare systems and Medicare

Preferred Qualifications

* Associate's or Bachelor's Degree in Social Work, Human Services, or related field

  • Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP
  • Bilingual in any of the following languages: Cantonese, Mandarin, or Korean
  • Experience using Genesys and/or Sales Force

Skills and Competencies

* Strong customer service skills with the ability to resolve member concerns in a timely and professional manner

  • Excellent communication and interpersonal skills to build relationships with members, providers, and team members
  • Ability to work in a fast-paced environment with multiple priorities and deadlines
  • Basic understanding of managed healthcare systems and Medicare
  • Strong problem-solving and analytical skills to identify and address member needs
  • Ability to work independently and as part of a team to achieve goals and objectives

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to the growth and development of our employees. As a Medicare Member Engagement Customer Service Representative, you will have opportunities to:

  • Develop your skills and knowledge in customer service, healthcare, and Medicare
  • Participate in regular training and development programs to enhance your performance and career growth
  • Collaborate with a talented team of professionals who are passionate about making a difference in the lives of our members
  • Contribute to the success of our organization and make a positive impact on the lives of our members

Work Environment and Company Culture

arenaflex is a remote-based organization that values flexibility, work-life balance, and employee well-being. As a Medicare Member Engagement Customer Service Representative, you will work in a fast-paced environment with a dynamic team of professionals who are passionate about delivering exceptional customer service. Our company culture is built on the principles of respect, empathy, and compassion, and we strive to create a positive and supportive environment for our employees.

Compensation, Perks, and Benefits

arenaflex offers a competitive benefits and compensation package, including:

  • Competitive salary and bonus structure
  • Comprehensive health insurance package
  • 401(k) retirement plan with company match
  • Paid time off and holidays
  • Flexible work arrangements and remote work options
  • Professional development opportunities and training programs
  • Recognition and rewards for outstanding performance and contributions

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience. We look forward to hearing from you!

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer (EOE) and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive, respectful, and supportive of all employees, regardless of their background, culture, or identity. Apply for this job

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