At arenaflex, we pride ourselves on creating a culture that empowers our employees to bring their authentic selves to work every day. Our Performance-Based Culture is built on the principles of People, Work, and Conditions, allowing us to adapt to business changes and new opportunities while making a meaningful impact on the lives of those we serve. Our purpose is simple: Together, making health care easier for the people we serve.
As a Customer Service Representative at arenaflex, you will play a vital role in serving the nation's military, veterans, Guard, and Reserves, as well as their families. You will be the face of our organization, providing timely, accurate answers to inquiries, and resolving complex issues with empathy and professionalism. If you are passionate about delivering exceptional customer service, working in a fast-paced environment, and making a difference in the lives of others, we encourage you to apply for this exciting opportunity.
**In This Role, You Will:**
* Receive and respond to telephone, written, fax, and email inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.
* Apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives in making determinations on eligibility and benefits to determine appropriate responses to inquiries.
* Obtain and analyze claims data to determine specific problem areas, including external communication to obtain data.
* Complete research and provide final resolution to inquiries within contractual requirements.
* Communicate with inquirers to determine appropriate authorization or referral of services.
* Submit claims for adjudication, correction, payment, or review as appropriate.
* Educate providers on billing requirements of TRICARE to reduce claim problems.
* Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
* Respond to inquirers using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.
* Collect and record data for Customer Service records and computer analysis.
* Inform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.
**How Do I Know This Opportunity is Right for Me?**
If you:
* Enjoy working in a high-volume call center environment
* Excel at providing timely, accurate answers via telephone by employing strong listening skills
* Enjoy new challenges and approach each day with a positive attitude
* Demonstrate a strong work ethic with a history of dependability and respect
* Possess excellent information retention capabilities
* Thrive in an environment that offers opportunities for continuous learning
**What Will I Gain from This Role?**
* Gaining experience working in a call center environment
* Having the ability to work remotely from home
* Building in-depth communication and customer service skills
* Being a part of a fun, supportive team that offers great advancement opportunities throughout the organization
* Working in an environment that serves our nation's military, veterans, Guard, and Reserves, as well as their families
**Minimum Qualifications:**
* U.S. citizenship is required for this position due to Department of Defense restrictions
* High school diploma or equivalent
**Preferred Qualifications:**
* 2 or more years of experience in customer service
* Ability to learn medical and insurance terminology
* Microsoft Office Experience
* Ability to navigate dual monitor screens and between multiple programs at once
* Strong skillsets in multi-tasking, research, and problem-solving
**What We Offer:**
* Competitive compensation and benefits package
* Opportunities for career growth and advancement
* Collaborative and supportive work environment
* Recognition and rewards for outstanding performance
* Comprehensive training and development programs
* Flexible work arrangements, including remote work options
**How to Apply:**
If you are a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and join our team of dedicated professionals who are committed to serving the nation's military, veterans, Guard, and Reserves, as well as their families.