Remote Customer Service Representative – Member Services for Medicaid & Medicare – arenaflex (Remote – Charleston, WV Area)

About arenaflex

arenaflex is a leading health‑focused organization dedicated to delivering compassionate, human‑centric care to millions of members across the United States. Our mission, “Bringing our heart to every moment of your health,” drives everything we do—from the technology that powers our platforms to the everyday conversations our team members have with members and providers. As the health‑care landscape evolves, arenaflex remains at the forefront of innovation, ensuring that care is personal, convenient, and affordable for every community we serve.

Why Join arenaflex?

At arenaflex, you’ll become part of a purpose‑driven culture where every interaction matters. Our Heart At Work Behaviors™ empower employees to shape a supportive environment, champion continuous learning, and make a tangible impact on the health of our members. Whether you’re just starting your career or looking to deepen your expertise, arenaflex offers a clear pathway for growth, mentorship, and recognition.

Position Overview

We are seeking a dedicated Remote Customer Service Representative to join our Member Services team. In this role, you will provide telephone assistance to Medicaid members and health‑care providers, handling inquiries related to eligibility, benefits, provider changes, and ID‑card requests. Your commitment to delivering a consistently excellent experience will help us uphold arenaflex’s promise of caring, convenient, and affordable health care.

Key Responsibilities

• Answer inbound member and provider calls with professionalism, empathy, and accuracy.
• Provide clear information on benefits, eligibility, prior authorizations, extra programs, and other member services.
• Navigate arenaflex’s internal systems to verify coverage, update provider details, and process ID‑card requests.
• Maintain high‑quality call metrics, including average handle time, first‑call resolution, and customer satisfaction scores.
• Adhere to a secure home‑office setup: high‑speed internet via Ethernet cable (Wi‑Fi is not permitted) and a quiet, distraction‑free workspace.
• Participate in a structured onboarding program: six weeks of training (8:30 AM – 5:00 PM EST, Monday‑Friday) followed by a production schedule with the same hours.
• Escalate complex issues to senior team members or specialized departments while documenting all interactions in the CRM system.
• Collaborate with cross‑functional teams—including claims, enrollment, and quality assurance—to continuously improve processes.
• Comply with all regulatory, privacy, and security standards, including HIPAA and arenaflex’s internal policies.

Essential Qualifications

• Residency within 50 miles of Charleston, WV (required for occasional office visits when technical issues arise).
• High school diploma or equivalent; additional education or certifications in health‑care administration is a plus.
• Demonstrated ability to communicate clearly and compassionately with members and providers, both verbally and in writing.
• Self‑motivation and the capacity to thrive in a remote work environment with minimal supervision.
• Reliable high‑speed internet connection (Ethernet only) and a dedicated home office space.
• Willingness to comply with arenaflex’s COVID‑19 vaccination policy or to request a reasonable accommodation.

Preferred Qualifications

• Previous experience in a remote call‑center or customer‑service role, especially within health‑care.
• Familiarity with Medicaid and Medicare programs, including eligibility rules and benefit structures.
• Experience using CRM platforms, ticketing systems, and electronic health‑record (EHR) tools.
• Strong problem‑solving skills and the ability to think on your feet while maintaining composure.

Core Skills & Competencies

• Customer‑Centric Communication: Active listening, empathy, and clear articulation of complex information.
• Technical Proficiency: Comfort with multi‑line phone systems, web‑based applications, and data entry.
• Attention to Detail: Accurate documentation and adherence to compliance standards.
• Time Management: Ability to prioritize tasks and manage call volume efficiently.
• Team Collaboration: Willingness to share knowledge, support peers, and contribute to continuous improvement initiatives.

Compensation & Benefits

arenaflex offers a competitive hourly wage ranging from $17.00 to $25.15, commensurate with experience, education, and geographic location. In addition to base pay, you will be eligible for a comprehensive benefits package that includes:

• Medical, dental, and vision coverage with multiple plan options.
• 401(k) retirement savings plan with company match and an Employee Stock Purchase Plan.
• Fully‑paid term life insurance, short‑term and long‑term disability coverage.
• Generous paid time off (PTO), paid holidays, and sick leave in accordance with state regulations.
• Well‑being programs such as mental‑health resources, fitness discounts, and employee assistance services.
• Education assistance, tuition reimbursement, and free access to development courses.
• Discounts at arenaflex retail locations and partner programs.

Career Growth & Development

arenaflex invests heavily in the professional development of its workforce. As a Remote Customer Service Representative, you will have access to:

• Structured onboarding and ongoing training modules to sharpen both technical and soft skills.
• Mentorship programs pairing you with seasoned leaders in member services, claims, and operations.
• Clear career pathways leading to senior support roles, team lead positions, and specialized health‑care analyst tracks.
• Opportunities to participate in cross‑departmental projects, process‑improvement initiatives, and innovation labs.
• Regular performance reviews with actionable feedback and goal‑setting for advancement.

Work Environment & Culture

At arenaflex, we celebrate diversity, inclusion, and the unique perspectives each employee brings. Our remote workforce enjoys:

• A flexible work‑from‑home model that respects work‑life balance while maintaining high standards of service.
• Virtual community events, wellness challenges, and employee resource groups that foster connection.
• An inclusive culture where every voice is heard, and contributions are recognized through awards, spot bonuses, and public acknowledgment.
• Robust technology support, including equipment provision, secure VPN access, and a dedicated IT help desk.
• Commitment to accessibility: arenaflex provides reasonable accommodations, such as screen readers, captioning services, and telecommunications relay services (TRS) for individuals with disabilities.

Application Process

If you are passionate about helping members navigate their health‑care journey and thrive in a remote, fast‑paced environment, we want to hear from you. To apply, click the link below, submit your resume, and complete the brief questionnaire. Our recruiting team will review your application and reach out to schedule a virtual interview.

Apply Now – Join arenaflex Today!

Equal Opportunity Employer

arenaflex is an equal‑opportunity employer. We value diversity and encourage individuals of all backgrounds, including veterans, people with disabilities, and members of underrepresented groups, to apply. We are committed to providing a workplace free from discrimination and to offering reasonable accommodations throughout the hiring process.

Take the Next Step

Ready to make a meaningful impact on the health and well‑being of millions while advancing your own career? Join arenaflex’s dedicated Member Services team and become part of a purpose‑driven organization that truly puts its heart into every interaction.