Job Description
Are you passionate about making a meaningful difference in people's lives? Do you have a Master's degree and a strong desire to work in a dynamic environment where you can utilize your skills to improve the lives of others? Look no further! arenaflex is seeking an experienced Behavioral Health Customer Service Advocate to join our dedicated team. As a Behavioral Health Customer Service Advocate, you will play a vital role in helping individuals access the care they need, while also providing exceptional customer service to our members and providers. **About arenaflex** arenaflex is a leading healthcare company that creates innovative pharmacy, care, and benefit solutions to improve health and increase vitality. We are committed to making a positive impact on people's lives by providing accessible and affordable healthcare solutions. Our team is passionate about driving growth and improving lives, and we are excited to have you join us on this journey. **Job Summary** As a Behavioral Health Customer Service Advocate, you will be responsible for providing exceptional customer service to our members and providers, while also ensuring that they receive the necessary care and support. You will work in a fast-paced environment, handling multiple phone calls and tasks simultaneously, while maintaining a high level of accuracy and attention to detail. Your strong communication and problem-solving skills will enable you to effectively navigate complex situations and provide solutions that meet the needs of our members and providers. **Key Responsibilities** * Take back-to-back phone calls from members and providers, handling each call with empathy and compassion * Triage and conduct intake for risk of harm and substance use concerns, using your independent judgment to determine the best course of action * Communicate eligibility, assist with scheduling appointments and providing referrals, quote benefits, and advise on authorization requirements * Utilize resources and independent judgment to deliver accurate information, exceptional service, and resolution on the first call * Collaborate with matrix partners and coordinate seamless handoffs to clinical teams for timely support * Navigate multiple systems and applications across multiple screens while on calls, sometimes up to 9 programs at once * Work with account-specific VIP's to ensure appropriate support for members * Provide start-to-finish case ownership with claims, including: + Explaining how benefits were applied to claims and how claims were processed + Supporting complex case completion and appropriate resolution achieved through any necessary communication + Working with claims examiners to determine appropriate steps in resolution + Communicating with healthcare professionals to clarify and resolve claims issues impacting the member and provider + Reprocessing claims **Requirements** * Master's degree in psychology, social work, or a related field, or Master's degree in another field plus 2+ years of behavioral health experience * Customer service experience * Strong time management and multitasking abilities * Proficiency with typing and PC usage * Must remain at your workstation while handling calls from a phone queue **Training Schedule** * Monday-Friday, 8:30 AM to 5:00 PM CST **Work Schedule** * Based on business need, a permanent 8-hour shift between 7:00 AM and 7:00 PM CST will be offered **Compensation and Benefits** * We anticipate offering an hourly rate of $24 - $36 per hour, depending on relevant factors, including experience and geographic location * This role is also anticipated to be eligible to participate in an annual bonus plan * Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs * 401(k) with company match * Company-paid life insurance * Tuition reimbursement * Minimum of 18 days of paid time off per year and paid holidays **About arenaflex** arenaflex is a dynamic and innovative company that is committed to making a positive impact on people's lives. We are passionate about driving growth and improving lives, and we are excited to have you join us on this journey. Our team is dedicated to providing exceptional customer service and support to our members and providers, while also ensuring that they receive the necessary care and support. **Why Join arenaflex?** * Make a meaningful difference in people's lives * Work in a dynamic and innovative environment * Develop your skills and expertise in a fast-paced and challenging role * Enjoy a comprehensive range of benefits and perks * Be part of a team that is passionate about driving growth and improving lives **How to Apply** If you are passionate about making a meaningful difference in people's lives and have the skills and experience to succeed in this role, we encourage you to apply. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you! **Equal Employment Opportunity** arenaflex is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we are proud to be an equal opportunity employer. **Reasonable Accommodation** If you require reasonable accommodation in completing the online application process, please email: [insert contact information] for support. Do not email [insert contact information] for an update on your application or to provide your resume as you will not receive a response. **Tobacco-Free Policy** arenaflex has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. **Qualified Applicants with Criminal Histories** Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state, and local ordinances. **Originally Posted On** This job was originally posted on [insert website or platform]. Apply for this job