Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, arenaflex One Medical

Transforming Healthcare through Exceptional Patient Support

At arenaflex, we're revolutionizing the primary care experience by delivering high-quality care and service to our patients. As a Customer Service Specialist in our Healthcare Billing and Revenue Cycle Management team, you'll play a vital role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. If you're passionate about helping people and driven to cultivate change in healthcare, we'd love to connect.

A Day in the Life

As a Customer Service Specialist, you'll handle inbound calls from arenaflex patients (customers) regarding their medical bills, insurance claims, and payment inquiries. Your daily activities will include reviewing patient accounts, processing payments, explaining EOBs (Explanation of Benefits), and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. You'll also document all interactions in the electronic health record system and follow up on pending issues.

Key Responsibilities

* Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.

• Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
• Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support arenaflex's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
• Assist admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
• Investigate claims through insurance to ensure they were processed according to the patient benefit plan, including reviewing and reconciling patient and insurance balances for accuracy.
• Master our technology suite, including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
• Contribute to team development through rounding, attending team huddles, participating in team problem-solving, supporting all in-office providers with urgent & stat patient needs.

About the Team

arenaflex's call center team combines healthcare expertise with a customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

Essential Qualifications

* 2+ years of customer service experience in a call center environment

• 1+ years with medical billing, insurance claims, or healthcare revenue cycle
• Demonstrated proficiency in Microsoft Office Suite
• Experience using electronic health records (EHR) or customer relationship management (CRM) systems
• Knowledge of HIPAA compliance and healthcare privacy regulations
• High school diploma or equivalent

Preferred Qualifications

* Spanish Speaking

• Ability to work various shifts
• Strong problem-solving and documentation skills
• Ability to type 45+ WPM while maintaining accuracy

Career Growth Opportunities and Learning Benefits

At arenaflex, we're committed to helping our employees grow and develop their careers. As a Customer Service Specialist, you'll have opportunities to:

• Develop your skills in medical billing, insurance claims, and healthcare revenue cycle management
• Collaborate with cross-functional teams to improve patient satisfaction and outcomes
• Participate in ongoing training and development programs to enhance your knowledge and skills
• Contribute to team development and problem-solving initiatives
• Pursue opportunities for advancement and career growth within the company

Work Environment and Company Culture

arenaflex is a dynamic and inclusive workplace that values diversity, equity, and inclusion. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package that includes:

• Base pay ranging from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market
• Equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package
• A full range of medical, financial, and/or other benefits, including:

+ Medical, dental, and vision insurance + 401(k) or other retirement savings plan + Paid time off and holidays + Flexible work arrangements and remote work options + Professional development and training opportunities

How to Apply

If you're passionate about helping people and driven to cultivate change in healthcare, we'd love to connect. Apply now to join our team and be a part of transforming the primary care experience. Apply now Apply for this job