Experienced Customer Service Representative – Medical Claims Navigation (CMN)
At arenaflex, we're committed to delivering exceptional patient care and service in the durable medical equipment and respiratory industry. With over 70 years of experience, we've established ourselves as a trusted partner in the healthcare community. Our dedication to excellence has earned us numerous awards, including the prestigious NorthCoast 99 Award as a Top Workplace to work and the National HME Excellence Award for Best Home Medical Equipment company in the US. As a family-owned and operated business, we prioritize our employees' growth and well-being. We're proud to offer a comprehensive benefits package, competitive pay, and opportunities for advancement. If you're passionate about delivering top-notch customer service and navigating complex medical claims, we invite you to join our team as an Experienced Customer Service Representative – Medical Claims Navigation (CMN).
About arenaflex
arenaflex is a leading provider of durable medical equipment and respiratory services, dedicated to improving the lives of our patients and their families. Our commitment to excellence is reflected in our awards and recognition, including:
- 12-Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work (2023)
- Two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US
- 2021 HME Provider of the Year
Job Summary
As an Experienced Customer Service Representative – Medical Claims Navigation (CMN), you will play a critical role in ensuring the timely and accurate processing of medical claims. You will be responsible for reviewing initial prescriptions, completing daily follow-up processes, and managing the CMN renewal process. Your exceptional communication and organizational skills will enable you to navigate complex medical claims and provide top-notch customer service to our patients and healthcare providers.
Responsibilities and Duties
* Review initial prescriptions for qualifying elements resulting in timely release of claims
- Complete daily follow-up processes on all CMNs assigned within the WIP states/RC worklist
- Review possible renewal CMNs within the CMN review worklist
- Manage the CMN renewal process and obtain all necessary documentation
- Handle all outstanding held revenue related to CMNs for branches assigned
- Manage phone calls related to CMNs
- Perform other duties as assigned
Qualifications
* Education: Graduate of an accredited high school or GED equivalent
- Experience/Knowledge/Skills/Physical Requirements:
+ Ability to multi-task in a fast-paced environment + Detail and team-oriented + Effective communication (verbal and written) and organizational skills + Proven computer proficiency, the use of multiple applications simultaneously + Knowledge of the HME/DME industry is preferred
Benefits and Perks
* Competitive pay: $16.50/hour (starting rate)
- Advancement opportunities
- Medical, dental, and vision insurance
- HSA account with company contribution
- Pet insurance
- Company-provided life and AD&D insurance
- Short-term and long-term disability
- Tuition reimbursement program
- Employee assistance program (EAP)
- Employee referral bonus program
- 401(k) with matching program and Roth IRA
- Company discounts
- PayActive/on-demand pay
- Paid vacation, sick days, you days, and holidays
Why Join arenaflex?
* Work in a dynamic and supportive environment with a team of dedicated professionals
- Enjoy a comprehensive benefits package and competitive pay
- Opportunities for advancement and professional growth
- Make a meaningful impact in the lives of our patients and their families
- Be part of a company that values its employees and prioritizes their well-being
How to Apply
If you're passionate about delivering exceptional customer service and navigating complex medical claims, we invite you to apply for this exciting opportunity. Please submit your application through our website, and take the first step towards a rewarding new role. Apply To This Job Seize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role. Apply for this job