Customer Service Representative – Medicaid Member Services – Remote Work Opportunity in Charleston, WV Area

• --

Join arenaflex: Where Your Heart for Helping Others Becomes Your Career

Are you ready to make a meaningful difference in people's lives every single day? At arenaflex, we believe that health care should be personal, convenient, and affordable for everyone. We are seeking compassionate, dedicated individuals to join our Member Services team as we transform the way health care is delivered across the nation. If you have a genuine desire to help others and want to be part of a culture that values empathy, excellence, and innovation, we invite you to explore this exciting opportunity.

Every moment of health matters, and at arenaflex, we bring our hearts to every interaction. As a Member Service Representative, you will be at the forefront of our mission to deliver human-centric health care that truly makes a difference in the lives of our members. Your voice will be the first point of contact for individuals seeking guidance, support, and answers about their health benefits. This is more than just a job—it's a chance to be part of something bigger, to touch lives, and to build a rewarding career in an industry that is constantly evolving.

About arenaflex

arenaflex is a leading health care company committed to transforming the delivery of health services across the United States. We understand that in today's rapidly changing world, health care needs to be more accessible, more personalized, and more convenient than ever before. Our team of dedicated professionals works tirelessly to ensure that every member receives the support and care they deserve.

Our culture is built on a foundation of Heart At Work Behaviors™, which guide how we interact with each other, our members, and our communities. We believe in empowering our employees to be the best they can be, providing them with the tools, training, and support they need to succeed. When you join arenaflex, you become part of a team that truly cares about making a positive impact on the health and well-being of millions of Americans.

Position Overview: Member Service Representative

We are currently looking for enthusiastic and customer-focused individuals to fill the role of Member Service Representative within our Medicaid health plan division. In this position, you will provide exceptional telephone assistance to our Medicaid members and health care providers. Your primary responsibility will be to deliver outstanding customer service that exceeds expectations, ensuring that every caller feels heard, valued, and satisfied with the resolution they receive.

This is a remote position that allows you to work from the comfort of your own home, provided you meet our technical requirements. You must reside within 50 miles of Charleston, West Virginia, to be eligible for this role. The position requires a commitment to excellence, strong communication skills, and the ability to thrive in a fast-paced call center environment.

Key Responsibilities

As a Member Service Representative at arenaflex, you will play a crucial role in our member experience. Your daily responsibilities will include:

• Answering incoming calls from Medicaid members and health care providers in a professional, courteous, and efficient manner


• Responding to inquiries regarding member benefits, eligibility status, and coverage details


• Assisting members with provider changes, including locating in-network physicians and specialists


• Processing requests for member ID cards and ensuring timely delivery


• Explaining prior authorization requirements and guiding members through the authorization process


• Providing information about extra benefits and wellness programs available to members


• Documenting all interactions accurately in our customer relationship management system


• Identifying opportunities to educate members about preventive care and health resources


• Escalating complex issues to supervisory staff when necessary while providing first-call resolution whenever possible


• Meeting or exceeding performance standards for call quality, customer satisfaction, and productivity

Technical Requirements

To ensure a successful remote work experience, all team members must meet the following technical specifications:

• High-speed internet connectivity with a minimum download speed of 25 Mbps and upload speed of 5 Mbps


• Secure, wired ethernet connection (Wi-Fi is not permitted for security reasons)


• A dedicated, quiet workspace free from distractions during work hours


• Ability to commute to our Charleston, WV office location when unable to work from home due to prolonged technical issues or system outages


• All necessary equipment, including a computer, headset, and phone, will be provided by arenaflex

Training and Schedule

arenaflex is committed to setting you up for success from day one. All new Member Service Representatives undergo a comprehensive training program designed to equip you with the knowledge and skills needed to excel in your role.

• Training Period: The first six weeks of employment will consist of intensive training


• Training Schedule: 8:30 AM - 5:00 PM EST, Monday through Friday


• Production Schedule: Once training is complete, your regular schedule will be 8:30 AM - 5:00 PM EST, Monday through Friday


• Work Environment: This position primarily operates in a work-from-home capacity, with periodic in-office requirements as business needs dictate

During training, you will learn about our health plans, policies, procedures, and customer service best practices. Our dedicated training team will support you every step of the way, ensuring you feel confident and prepared to handle member inquiries with expertise and empathy.

Required Qualifications

To be considered for this position, candidates must meet the following minimum requirements:

• Must reside within 50 miles of Charleston, WV


• Ability to communicate effectively both orally and in written form


• Strong active listening skills to understand member needs and provide appropriate solutions


• Capacity to meet performance standards, attendance requirements, and call quality goals


• Self-sufficiency and ability to work independently in a remote environment


• Proficiency with computer systems and ability to navigate multiple software applications simultaneously


• High school diploma or equivalent

Preferred Qualifications

While not required, the following qualifications will help you stand out as an ideal candidate:

• Previous experience working remotely in a call center or customer service setting


• Familiarity with Medicaid and Medicare programs and terminology


• Previous experience in the health care insurance industry


• Associate's or bachelor's degree in a related field such as health administration, human services, or communications


• Bilingual capabilities (particularly Spanish) are always a plus

Skills and Competencies for Success

At arenaflex, we look for individuals who embody our core values and demonstrate the following competencies:

• Empathy: The ability to understand and share the feelings of members who may be dealing with stressful health situations


• Patience: Remaining calm and composed when handling difficult calls or frustrated callers


• Problem-Solving: Quickly identifying issues and implementing effective solutions


• Adaptability: Being flexible and open to learning new processes and technologies


• Time Management: Efficiently managing call volume and documentation tasks within designated timeframes


• Teamwork: Collaborating with colleagues and supporting team goals


• Attention to Detail: Accurately recording information and following established protocols

Career Growth and Development Opportunities

At arenaflex, we believe in investing in our employees' futures. When you join our team, you gain access to a wide range of career development opportunities, including:

• Internal promotion pathways to supervisory, trainer, or specialist roles


• Continuous learning through free development courses and training programs


• Mentorship programs that pair you with experienced professionals


• Tuition assistance for relevant degree programs


• Cross-functional exposure to different areas of the health care business


• Leadership development programs for high-potential employees

We are committed to helping you build a long, fulfilling career with arenaflex. Many of our current leaders started in entry-level positions and grew their careers through dedication and hard work.

Compensation and Benefits

arenaflex offers a competitive compensation package that recognizes your skills and experience. The pay range for this position is $17.00 to $25.15 per hour, depending on qualifications, experience, and geographic factors.

In addition to your base pay, arenaflex provides a comprehensive benefits package that includes:

• Health Insurance: Full medical, dental, and vision coverage for you and your family


• Retirement Savings: 401(k) plan with company match to help you save for the future


• Stock Purchase Plan: Opportunity to purchase arenaflex stock at a discounted rate


• Life Insurance: Fully-paid term life insurance for eligible employees


• Disability Coverage: Short-term and long-term disability benefits


• Wellness Programs: Numerous well-being programs, fitness discounts, and mental health resources


• Education Assistance: Free development courses and tuition reimbursement


• Employee Discounts: Discounts on products and services through participating partners


• Paid Time Off: Generous PTO and vacation pay


• Holidays: Paid holidays throughout the calendar year


• Sick Leave: Paid sick time as consistent with state laws and company policies

Work Environment and Culture

At arenaflex, we foster a supportive, inclusive work environment where every employee feels valued and respected. We understand that happy employees deliver better customer experiences, which is why we prioritize work-life balance, employee well-being, and professional satisfaction.

Our remote work model offers flexibility and eliminates the stress of daily commuting, allowing you to focus on what matters most—delivering exceptional service to our members. However, we also recognize the importance of connection and collaboration, which is why we provide opportunities for team building, virtual events, and periodic in-person gatherings.

You will join a team of passionate individuals who share your commitment to making a positive impact. Our culture celebrates diversity, encourages innovation, and rewards dedication. When you succeed, we all succeed.

Why arenaflex?

There are many reasons to consider a career with arenaflex:

• Make a real difference in the lives of others


• Work for a company recognized for its commitment to diversity and inclusion


• Enjoy competitive pay and comprehensive benefits


• Access opportunities for career advancement


• Experience the flexibility of remote work


• Join a team that values your contributions and supports your growth

Apply Today

If you are ready to bring your heart to work and join a team that truly cares about people, we encourage you to apply for this position. At arenaflex, we believe that everyone has something valuable to contribute, and we are committed to providing equal opportunities for all.

Are you ready to take the next step in your career? Do you have the passion for helping others and the drive to succeed in a dynamic environment? If so, we would love to hear from you.

Apply now to join our team and start your journey with arenaflex!