At arenaflex, we're dedicated to delivering exceptional customer experiences that exceed our patients' expectations. As a Senior Customer Experience Representative, you'll play a vital role in ensuring that our patients receive the highest level of care and service. If you're passionate about delivering outstanding customer experiences and have a strong background in healthcare, we want to hear from you!
**About arenaflex**
arenaflex is a leading healthcare organization that's committed to providing innovative and compassionate care to our patients. Our mission is to make a positive impact on the lives of our patients and their families, and we're looking for talented individuals like you to join our team. As a Senior Customer Experience Representative, you'll be part of a dynamic team that's dedicated to delivering exceptional customer experiences.
**Your Everyday**
As a Senior Customer Experience Representative, your primary responsibilities will include:
* Maintaining responsibility of the timely submission of all professional claims assigned
* Working daily electronic billing file and submitting insurance claims to third-party payers; reviewing daily edit reports from the professional billing system and making necessary corrections to allow electronic submission
* Reviewing error reports from electronic payers; identifying errors and making appropriate corrections to ensure accurate claim submission
* Monitoring claim rejections for trends and issues and reporting findings to supervisor
* Preparing and submitting manual insurance claims to third-party payers who do not accept electronic claims or who require special handling
* Coordinating medical record requests as needed
* Documenting billing activity on the patient account; ensuring compliance with all state and federal billing regulations and reporting any suspected compliance issues to the Billing Manager and/or Supervisor
* Working with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department
* Observing best practice processes in billing, follow-up, and customer service activities
* Participating in staff training that aligns with recognized improvement opportunities and increase understanding of Medicare/Medicaid requirements as well as general billing and follow-up processes
* Acting in accordance with arenaflex's mission and values, while serving as a role model for ethical behavior
* Adhering to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines
**The Must-Haves**
* EDUCATION/EXPERIENCE QUALIFICATIONS
+ Required: High School Diploma/GED or equivalent OR 2 years of work experience
+ Preferred: 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management
* LICENSES AND CERTIFICATIONS
+ Certification in billing and/or coding
* KNOWLEDGE, SKILLS, AND ABILITIES
+ Ability to pass basic computer skills test and system level training
+ Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes
+ Demonstrates knowledge of:
- Hospital and professional billing processes and reimbursement
- Third-party contracting
- Insurance protocols, delay tactics, systems, and workflows
- ERISA guidelines for denials and appeals
- Regulations related to denials and appeals
+ Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change
+ Possesses efficient time-management skills and proven ability to multitask under tight deadlines
+ Demonstrates excellent customer service skills
+ Effective writing and communication skills
+ Strong comfort level with computer systems
**Work Environment and Company Culture**
As a Senior Customer Experience Representative at arenaflex, you'll be part of a dynamic team that's dedicated to delivering exceptional customer experiences. Our work environment is fast-paced and challenging, but we're committed to supporting our employees every step of the way. We offer a competitive salary, comprehensive benefits package, and opportunities for career growth and development.
**Compensation, Perks, and Benefits**
* Competitive salary
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) retirement plan with company match
* Paid time off and holidays
* Opportunities for career growth and development
* Collaborative and supportive work environment
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to supporting our employees' career growth and development. As a Senior Customer Experience Representative, you'll have opportunities to:
* Participate in ongoing training and development programs
* Collaborate with cross-functional teams to improve processes and achieve departmental goals
* Take on additional responsibilities and contribute to the growth and success of the organization
* Pursue certifications and advanced education in healthcare billing and coding
**Why Join arenaflex?**
* Make a positive impact on the lives of our patients and their families
* Be part of a dynamic team that's dedicated to delivering exceptional customer experiences
* Enjoy a competitive salary, comprehensive benefits package, and opportunities for career growth and development
* Collaborate with cross-functional teams to improve processes and achieve departmental goals
* Pursue certifications and advanced education in healthcare billing and coding
**How to Apply**
If you're passionate about delivering exceptional customer experiences and have a strong background in healthcare, we want to hear from you! To apply, please click on the link below and submit your application for employment.
**Equal Opportunity Employer**
arenaflex is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
**Simple Application Process**
Ready to join us? The first step is easy. Click apply now and we'll be in touch soon!
Note: The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. arenaflex reserves the right to amend and change responsibilities to meet organizational needs as necessary.