Customer Service Representative – Compassionate Medical Member Support Specialist | Health Benefits & Eligibility Expert (Remote/Hybrid)

About arenaflex – A Purpose‑Driven Leader in Health Care

At arenaflex, we live by a single, clear purpose: bringing our heart to every moment of your health. This purpose fuels our commitment to deliver human‑centric health care that adapts to a rapidly changing world. Whether you’re a member seeking guidance on a claim, a provider needing eligibility details, or a student navigating health benefits, our brand’s core—heart—guides every interaction. We believe that how we deliver services is just as important as what we deliver, and we empower every employee to shape a culture where compassion, innovation, and personal connection thrive.

Why Join arenaflex?

Working at arenaflex means becoming part of a community that values empathy, continuous learning, and personal growth. Our Heart At Work Behaviors™ empower you to transform culture, accelerate innovation, and make health care more personal, convenient, and affordable. As a Medical Customer Service Representative in the Student Health division, you’ll be the friendly, knowledgeable face that members rely on for clear, caring guidance.

Key Responsibilities

• Serve as the primary point of contact for members contacting arenaflex about claims, eligibility, benefits, and plan details.
• Engage, consult, and educate members based on their unique needs, preferences, and understanding of arenaflex plans, tools, and resources.
• Answer questions and resolve issues promptly via phone, ensuring a smooth, empathetic experience.
• Tri­age complex or re‑work cases to the appropriate internal teams while maintaining ownership of the member’s journey.
• Document and track every interaction with members, providers, and plan sponsors in our CRM system to ensure accurate follow‑up.
• Guide members through plan benefits, policy procedures, and regulatory requirements, providing clear explanations of rights and responsibilities.
• Build emotional connections by actively listening, demonstrating genuine care, and championing each member’s best health outcomes.
• Anticipate unasked questions and proactively share relevant plan details, self‑service tools, and additional resources.
• Apply the customer‑service threshold framework to make informed financial decisions that resolve member issues efficiently.
• Maintain compliance with all applicable health‑care regulations, privacy standards, and internal policies.

Essential Qualifications

• Availability: Ability to work an 8‑hour shift between 8:30 am – 8:30 pm EST, Monday through Friday.
• Experience: Prior customer‑service experience in a transaction‑based environment (e.g., call center, retail) with a demonstrated ability to be empathetic and compassionate.
• Production Environment: Experience thriving in fast‑paced, high‑volume settings while maintaining accuracy and quality.
• Education: High School Diploma or equivalent; additional coursework in health‑care, communications, or related fields is a plus.

Preferred Qualifications & Skills

• Familiarity with health‑care terminology, insurance plans, and member benefits.
• Proficiency with CRM platforms, ticketing systems, and basic data entry.
• Strong verbal communication skills, with the ability to explain complex concepts in plain language.
• Demonstrated problem‑solving abilities and sound judgment when handling sensitive member information.
• Ability to work independently while collaborating effectively with cross‑functional teams.
• Commitment to continuous learning and staying current on industry trends and regulatory updates.

Core Competencies for Success

• Empathy & Compassion: Genuine concern for members’ health and wellbeing.
• Active Listening: Fully understand member concerns before responding.
• Clear Communication: Articulate policies, benefits, and next steps with confidence.
• Accountability: Take ownership of each interaction and follow through to resolution.
• Adaptability: Thrive in a dynamic environment where priorities shift quickly.
• Team Orientation: Share knowledge, support peers, and contribute to a collaborative culture.

Career Growth & Development Opportunities

At arenaflex, your career path is a journey, not a destination. As a Medical Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs that accelerate your proficiency.
• Ongoing training modules covering health‑care regulations, advanced communication techniques, and conflict resolution.
• Opportunities to transition into specialized roles such as Benefits Analyst, Member Advocacy Lead, or Health‑Care Operations Manager.
• Leadership development tracks for high‑performing individuals interested in supervisory or managerial positions.
• Cross‑departmental projects that expose you to broader business functions, including product development, compliance, and digital health innovation.

Compensation, Perks & Benefits

While exact compensation varies based on experience, education, and location, the typical hourly range for this role is $17.00 – $28.46. In addition to a competitive base salary, arenaflex offers a comprehensive benefits package designed to support your health, financial security, and personal growth:

• Medical, dental, and vision coverage with multiple plan options.
• Eligibility for the arenaflex 401(k) retirement savings plan, including company matching contributions.
• Employee Stock Purchase Plan (ESPP) allowing you to buy arenaflex shares at a discounted rate.
• Fully‑paid term life insurance, short‑term and long‑term disability coverage.
• Well‑being programs such as mental‑health resources, fitness subsidies, and wellness challenges.
• Education assistance, tuition reimbursement, and free development courses to help you upskill.
• Employee discount at arenaflex retail locations and partner discounts with a wide network of brands.
• Generous paid time off (PTO), vacation accrual, and paid holidays aligned with state regulations.

Work Environment & Culture at arenaflex

Our workspaces—whether virtual or physical—are designed to foster collaboration, creativity, and well‑being. You’ll join a diverse team that values:

• Inclusivity: A culture where every voice is heard and respected.
• Innovation: Encouragement to suggest improvements that enhance member experiences.
• Recognition: Regular acknowledgment of achievements through awards, shout‑outs, and career milestones.
• Flexibility: Options for remote work, flexible scheduling, and a supportive environment for work‑life balance.

Application Process & Timeline

We are actively reviewing applications and will close the window for this opening on 08/09/2024. Qualified candidates with arrest or conviction records will be considered in accordance with all federal, state, and local laws.

Ready to Make a Difference?

If you are passionate about helping members navigate their health‑care journey, thrive in a fast‑paced, empathetic environment, and want to grow your career with a purpose‑driven organization, we invite you to apply today. Join arenaflex and bring your heart to every moment of health.

Apply Job!