**Experienced Customer Service Representative – Remote Opportunity with Comprehensive Benefits Package**

**Introduction** Are you a dedicated and compassionate individual seeking a challenging role where you can make a meaningful impact in the lives of others? Do you possess excellent communication skills, a customer-centric approach, and a passion for delivering exceptional service? If so, we invite you to join our dynamic team at Arsenault, a rapidly growing national quality improvement and care management organization. As an Experienced Customer Service Representative, you will play a vital role in providing top-notch support to our beneficiaries and providers, ensuring that they receive the care and services they need. With a focus on customer satisfaction, you will be responsible for handling a high volume of calls, emails, and correspondence, while maintaining a positive and professional demeanor. **Perks of this Role** * **Fully Remote Position**: Work from the comfort of your own home, with rotational shifts available for EST, CT, or PST. * **Comprehensive Benefits Package**: Enjoy full benefits, including medical, dental, vision, and more, effective the first month following your hire date. * **Paid Time Off**: Balance your work and personal life with generous paid time off. * **401k with Match**: Grow your retirement savings with a 401k plan that includes a company match. * **Career Advancement Opportunities**: Join a national organization with roles across the US, and advance your career in a dynamic and supportive environment. **About Us** At Arsenault, we are committed to improving lives through healthcare quality and clinical expertise. Our mission-driven organization is dedicated to ensuring that over 20 million people receive the right care, at the right time, in the right setting. We are a people-focused organization that values our employees and provides the training and support needed to excel in your role. **Responsibilities** As an Experienced Customer Service Representative, your key responsibilities will include: * **Typing/Merging, Proofing, and Mailing Correspondence**: Ensure that all correspondence is accurate, complete, and mailed in a timely manner. * **Communicating with External Customers**: Provide excellent verbal and written communication to furnish and request review information from beneficiaries and providers. * **Fostering Effective Relationships**: Build and maintain strong relationships with internal and external customers, including beneficiaries, providers, and colleagues. * **Identifying Areas for Improvement**: Participate in Review Team discussions to identify areas for potential improvement and implement changes to enhance processes. * **Answering the Beneficiary Helpline**: Utilize the hunt group and available light functions to assist callers with their inquiries and provide referrals to external agencies as needed. * **Maintaining Timeliness and Accuracy**: Ensure that all letters and correspondence are sent out in a timely manner, with correct components included and reviewed for grammatical and spacing errors. * **Validating Notices and Medical Records**: Obtain and validate notices and all components of medical records. * **Providing Intake for Appeals**: Assist with the intake process for all appeals received by Arsenault. * **Utilizing Quality Control Tools**: Assess individual work and team processes using internal quality control tools. **Qualifications** To be successful in this role, you will need: * **High School Diploma or Equivalent**: A high school diploma or equivalent is required, with post-high school business courses a plus. * **Medical Terminology**: Medical terminology is desired, but not required. * **Excellent Verbal Communication Skills**: Possess excellent verbal communication skills, a courteous and patient demeanor, and the ability to maintain composure under potentially stressful situations. * **Good Grammar, Punctuation, and Written Communication Skills**: Demonstrate good grammar, punctuation, and written communication skills, with the ability to write clear and concise correspondence. * **Customer Focused and Results Oriented**: Be customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. * **General Knowledge of PC-Based Computer Systems**: Possess a general knowledge of PC-based computer systems, with the ability to learn additional software packages as needed. * **Multi-Tasking and Prioritization**: Be able to multi-task and prioritize assignments, with good organizational skills and the ability to work independently. **Experience** We are seeking an individual with: * **Two to Three Years of Clerical Experience**: Two to three years of clerical experience, including word processing, various filing systems, and telephone customer service responsibilities. * **Prior Work in a Healthcare Setting**: Prior work in a healthcare setting or medical terminology is recommended, with previous data entry or other clerical experience a plus. **Mental and Physical Requirements** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. **Equal Opportunity Employer** Arsenault is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. **Apply Now** If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application through our website, and join our dynamic team at Arsenault. Apply for this job