Remote Customer Service Representative – Healthcare Payments, Claims & Referral Coordination Specialist (Fully Remote)

About arenaflex – Empowering Care Through Compassionate Service

arenaflex is a leading, patient‑focused health and social services organization dedicated to delivering whole‑person care across a broad network of hospitals, clinics, and community programs. With a legacy of more than a century, arenaflex serves millions of individuals, especially the most vulnerable, by integrating medical, housing, and social support services. Our mission—“Know me, care for me, ease my way”—guides every interaction, and we believe that exceptional customer service is the cornerstone of that mission. As a remote member of our dynamic team, you will help translate this promise into everyday experiences for participants, families, and partner providers.

Why Choose arenaxflex?

At arenaflex, we recognize that our caregivers are not just valued—they are invaluable. We invest heavily in our people, offering a comprehensive benefits package, continuous learning opportunities, and a culture that celebrates diversity, inclusion, and mutual respect. Whether you are looking to deepen your expertise in health‑care customer service or seeking a role that balances professional growth with personal well‑being, arenaflex provides the platform to thrive.

Key Responsibilities

• Serve as the primary point of contact for participants, families, housing providers, hospitals, specialists, and nursing homes regarding contract provider payments, claim status, and related inquiries.
• Manage a high volume of inbound and outbound communications—including phone calls, emails, and faxes—ensuring each interaction is handled with professionalism, patience, and a people‑first attitude.
• Research and resolve payment discrepancies, collaborating with billing offices, insurance teams, and external vendors to identify timely solutions.
• Enter new enrollee information, authorizations, and referrals accurately into arenaxflex’s electronic health record (EHR) and payment systems.
• Maintain up‑to‑date participant demographics, insurance details, and correspondence records, guaranteeing data integrity across all platforms.
• Prepare and send routine communications such as appointment reminders, claim summaries, and payment confirmations.
• Assist with administrative tasks including data entry, document scanning, and filing to support the broader Home and Community Care (HCC) service line.
• Identify trends in participant inquiries and proactively suggest process improvements to leadership.
• Participate in regular training sessions, compliance updates, and quality‑assurance reviews to stay current with industry regulations and arenaxflex policies.

Essential Qualifications

• Experience: Minimum of 5 years managing high‑volume inbound and outbound customer service calls in a health‑care setting, with a focus on referral entry, payment inquiries, and claim status communication.
• Compliance: Ability to pass a criminal background check in accordance with Department of Human Services (DHS) requirements.
• Communication Skills: Exceptional spoken and written communication abilities, with a demonstrated capacity to convey complex information clearly and empathetically.
• Technical Proficiency: Comfortable navigating computerized spreadsheet applications, managed‑care payment systems, and basic accounting software.
• Organizational Skills: Strong attention to detail, multitasking capability, and the ability to prioritize tasks in a fast‑paced environment.

Preferred Qualifications

• Bachelor’s degree in Health Care, Business, Accounting, or a related field, or equivalent combination of education and experience.
• Hands‑on experience with Epic, QuickBooks Pro, or similar business accounting platforms.
• Proficiency in Microsoft Office Suite, especially Excel for data analysis and reporting.
• Previous exposure to Medicaid, Medicare, or other managed‑care payment structures.
• Demonstrated ability to work independently while maintaining strong collaboration with cross‑functional teams.

Core Skills & Competencies

• Customer‑Centric Mindset: A genuine desire to help participants and families navigate complex health‑care processes.
• Problem‑Solving: Ability to investigate payment issues, interpret claim data, and propose actionable solutions.
• Empathy & Patience: Maintaining composure and compassion, especially when dealing with distressed callers.
• Technical Agility: Quick adaptation to new software tools, portals, and digital communication channels.
• Team Collaboration: Working effectively with billing, clinical, and operations teams to ensure seamless service delivery.
• Regulatory Awareness: Understanding of HIPAA, CMS guidelines, and state‑specific health‑care regulations.

Career Growth & Learning Opportunities

arenaflex is committed to your professional development. As a Remote Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs that pair you with seasoned leaders.
• Continuous education resources, including tuition reimbursement, student loan forgiveness, and certifications in health‑care administration.
• Opportunities to transition into specialized roles such as Claims Analyst, Referral Coordinator, or Health‑Care Operations Manager.
• Regular webinars on emerging health‑care trends, payment technologies, and customer experience best practices.
• Cross‑departmental projects that broaden your skill set and increase visibility within arenaxflex.

Work Environment & Culture at arenaxflex

Our remote workforce enjoys a flexible schedule that respects work‑life balance while fostering a collaborative, inclusive community. arenaxflex’s culture is built on:

• Respect & Inclusion: A workplace where diversity of thought, background, and experience is celebrated.
• People‑First Philosophy: Decision‑making that prioritizes the well‑being of participants, caregivers, and families.
• Innovation: Encouragement to suggest improvements and pilot new service models.
• Recognition: Regular acknowledgment of outstanding performance through awards, shout‑outs, and career milestones.
• Supportive Leadership: Managers who are accessible, transparent, and invested in your success.

Compensation, Perks & Benefits

arenaxflex offers a competitive salary range of $19.80 – $30.24 per hour, with additional earnings potential through shift differentials, overtime, and performance bonuses. Our benefits package includes:

• Full medical, dental, and vision coverage from day one.
• Generous paid time off (vacation, sick days, holidays) and flexible scheduling.
• 401(k) plan with employer matching and access to a retirement planner.
• Wellness programs, mental‑health assistance, and employee assistance resources.
• Backup child and elder care services to support family needs.
• Voluntary benefits such as pet, auto, and home insurance.
• Tuition reimbursement and student‑loan forgiveness initiatives.
• Opportunities for professional certifications and continuous learning.

How to Apply

If you are ready to make a meaningful impact on the lives of participants, families, and health‑care partners while advancing your career in a supportive, mission‑driven environment, we invite you to submit your application today. Click the link below to begin the process:

Apply Now – Join arenaxflex

Join arenaxflex and Make a Difference

At arenaxflex, your voice matters. By delivering compassionate, accurate, and timely support, you become an essential part of a larger mission to care for the most vulnerable members of our communities. We look forward to welcoming a dedicated, empathetic professional who shares our commitment to excellence and service. Apply now and start a rewarding journey with arenaxflex.