**Job Description:**
Join arenaflex, a leading health solutions company, and make a difference in the lives of our nation's military, veterans, and their families.
At arenaflex, we're passionate about delivering exceptional customer service and support to those who serve our country. As a Customer Service Representative, you'll play a critical role in providing timely, accurate, and empathetic responses to inquiries from military members, retirees, and dependents eligible for TRICARE and Medicare benefits. If you're a motivated and detail-oriented individual with a passion for helping others, we encourage you to apply for this exciting opportunity.
About arenaflex
arenaflex is a not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. For nearly 80 years, we've been dedicated to making healthcare easier for the people we serve. Our team is committed to delivering exceptional service, innovative solutions, and a culture that values diversity, equity, and inclusion. As a proud military and veteran-ready organization, we're honored to support the men and women who serve our country.
Key Responsibilities
- Receive and respond to telephone, written, fax, and email inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions or billing problems.
- Apply appropriate provisions of TRICARE regulations, interpretations, and procedural directives to determine eligibility and benefits.
- Obtain and analyze claims data to identify problem areas and communicate with inquirers to determine authorization or referral of services.
- Complete research and provide final resolution to inquiries within contractual requirements.
- Communicate with providers to educate them on billing requirements and 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 and provide backup data and examples when needed.
Essential Qualifications
- U.S. citizenship is required due to Department of Defense restrictions.
- Must live within the vicinity of our Madison, WI campus location (45 miles from 1717 W. Broadway Madison, WI).
- High school diploma or equivalent.
- 2 or more years of experience in customer service (call center).
- Ability to learn medical and insurance terminology.
Preferred Qualifications
- Expertise in Microsoft Office (Outlook, Word, Excel), internet, intranet, office equipment, and data entry.
- Ability to navigate dual monitor screens and between multiple programs at once.
- Strong skillsets in multi-tasking, research, and problem-solving.
- Ability to work independently, deescalate situations with agitated individuals, control difficult situations, as well as influence and motivate others to comply with TRICARE procedures.
Remote Work Requirements
- Wired (ethernet cable) internet connection from your router to your computer.
- High speed cable or fiber internet with a minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
Benefits
As a valued member of our team, you'll enjoy a comprehensive benefits package, including:
- Bargaining Unit position.
- Remote and hybrid work options available.
- Performance bonus and/or merit increase opportunities.
- 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately).
- Competitive paid time off.
- Health insurance, dental insurance, and telehealth services start DAY 1.
- Professional and Leadership Development Programs.
Career Growth Opportunities and Learning Benefits
At arenaflex, we're committed to helping you grow and develop your skills. As a Customer Service Representative, you'll have opportunities to:
- Gain experience working in a high-volume call center environment.
- Develop in-depth communication and customer service skills.
- Build a strong understanding of medical and insurance terminology.
- Work with a fun, supportive team that offers great advancement opportunities throughout the organization.
- Be part of a culture that values diversity, equity, and inclusion.
Work Environment and Company Culture
Our Madison, WI campus location offers a collaborative and dynamic work environment, with a focus on employee engagement and well-being. We're proud of our recognition as a top workplace, and we're committed to creating an open and empowering employee experience.
How to Apply
If you're a motivated and detail-oriented individual with a passion for helping others, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and don't hesitate to reach out to us with any questions or concerns.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating an inclusive and equitable work environment, and we're proud to be a military and veteran-ready organization.