**Job Title:** Remote Member Services Representative – Health Care Customer Support Specialist | Work From Home Opportunity in Charleston Area

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Join arenaflex: Transforming Health Care Through Heart-Centered Service

Are you passionate about making a meaningful difference in people's lives? Do you thrive in environments where your communication skills can directly impact someone's health and well-being? If so, arenaflex invites you to join our dynamic team as a Remote Member Services Representative.

At arenaflex, we believe that health care should be personal, convenient, and affordable. Every interaction we have with members and providers is an opportunity to deliver exceptional service that puts humanity at the center of health care. Our commitment to "Heart At Work" behaviors defines everything we do—it's not just about what we deliver, but how we deliver it. When you join arenaflex, you become part of a mission-driven organization that truly cares about the communities we serve.

This is more than just a customer service job—it's a chance to be the friendly voice that helps someone navigate their health benefits, the helpful representative who ensures a patient gets the care they need, and the compassionate professional who makes a complex health care system feel more accessible. If you're ready to bring your heart to every moment of health, we want to hear from you.

Position Overview: Remote Member Services Representative

As a Member Services Representative at arenaflex, you will play a critical role in our Medicaid services division, providing telephone assistance to Aetna Medicaid members and health care providers. Your primary responsibility is to deliver exceptional customer support through inbound calls, addressing a wide range of inquiries with professionalism, empathy, and accuracy.

This position offers the flexibility of working from home while remaining connected to our Charleston, WV office and team. You'll be equipped with everything you need to succeed, including company-provided equipment, comprehensive training, and ongoing support from our dedicated leadership team.

Key Responsibilities

Your day-to-day work will be varied and meaningful. Here's what you can expect:

• Inbound Call Handling: Answer incoming calls from Medicaid members and health care providers, responding to questions about benefits, eligibility, covered services, prior authorization requirements, and extra benefits or programs available to members.


• Eligibility Support: Assist callers with understanding their coverage details, verifying eligibility status, and navigating the complexities of Medicaid benefits.


• Provider Assistance: Support health care providers with inquiries regarding member coverage, billing questions, and administrative processes.


• ID Card Requests: Process and fulfill requests for member identification cards efficiently and accurately.


• Provider Changes: Assist members with updating their primary care providers or specialists as needed.


• Documentation: Maintain detailed and accurate records of all interactions using our customer relationship management systems.


• Quality Assurance: Meet or exceed performance standards for call quality, customer satisfaction, productivity, and attendance.


• Continuous Learning: Participate in ongoing training sessions to stay current with Medicaid policies, procedures, and system updates.

Work Environment and Schedule

This is a remote position, but with an important geographic requirement: you must live within 50 miles of Charleston, WV. This proximity ensures you can commute to our office location when necessary, such as during extended technical issues that prevent remote work.

Training Schedule (First 6 Weeks): Monday through Friday, 8:30 AM - 5:00 PM EST

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

We provide all necessary equipment, including a laptop, headset, and other tools needed for success. You'll also receive comprehensive training to ensure you're confident in your role from day one.

Technical Requirements for Remote Work

To succeed in this remote role, you must have:

• High-speed internet connectivity with a secure, reliable ethernet cable connection (Wi-Fi is not permitted due to security requirements)


• A dedicated, quiet workspace free from distractions


• The ability to self-manage your workday and maintain productivity without constant supervision


• Technical proficiency with basic computer applications and systems

Qualifications We' arenaflexe Looking For

Required Qualifications

• Location: Must reside within 50 miles of Charleston, WV


• Communication Skills: Exceptional verbal and written communication abilities, with the capacity to explain complex information clearly and compassionately


• Customer Focus: A genuine desire to help others and resolve their concerns satisfactorily


• Performance Mindset: Ability to meet established performance standards, call quality goals, and productivity metrics


• Attendance Reliability: Strong attendance record and commitment to scheduled work hours


• Self-Sufficiency: Comfortable working independently from home with minimal supervision


• Flexibility: Willingness to commute to the Charleston office when remote work is not feasible due to technical issues


• Education: High school diploma or equivalent required

Preferred Qualifications

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


• Familiarity with Medicaid and Medicare programs and terminology


• Experience in health care customer service or related field


• Knowledge of medical billing or insurance processes


• Multi-language capabilities (a plus, but not required)

Skills and Competencies for Success

Beyond qualifications, we seek individuals who demonstrate these key competencies:

• Empathy and Patience: The ability to listen actively, understand caller concerns, and respond with compassion—especially when callers may be frustrated or stressed about health care issues


• Problem-Solving Abilities: Strong critical thinking skills to quickly assess issues, identify solutions, and guide callers through resolution


• Adaptability: Comfortable with change and able to learn new systems, processes, and policies as our services evolve


• Time Management: Efficiently manage call volume while maintaining quality interactions


• Team Player: Collaborative attitude and willingness to support colleagues and share knowledge


• Professionalism: Maintain composure under pressure and represent arenaflex with integrity in every interaction

Career Growth and Development Opportunities

At arenaflex, we invest in your growth. As a Member Services Representative, you'll have access to:

• Comprehensive Training: Six weeks of paid training to ensure you feel confident and prepared


• Career Advancement: Opportunities to move into senior representative roles, team lead positions, or specialized support functions


• Professional Development: Free development courses and training programs to enhance your skills


• Health Care Industry Knowledge: Valuable experience in the Medicaid/Medicare sector, which can serve as a foundation for a long-term career in health care


• Internal Mobility: Access to internal job postings across various departments and functions within arenaflex

Compensation and Benefits

We recognize that our people are our greatest asset, which is why we offer a competitive compensation package:

• Pay Range: $17.00 - $25.15 per hour, depending on experience, education, and qualifications


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


• Retirement Savings: 401(k) plan with company match


• Stock Purchase Plan: Eligible employees can purchase arenaflex stock at a discount


• Life Insurance: Fully-paid term life insurance plan


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


• Paid Time Off: Generous PTO and vacation pay


• Holidays: Paid holidays throughout the calendar year


• Wellbeing Programs: Numerous resources to support your physical, emotional, and financial wellness


• Education Assistance: Support for continuing education and professional certifications


• Employee Discounts: Discounts on products and services through our partner network

Our Culture: Heart At Work

arenaflex is more than a workplace—it's a community committed to transforming health care. Our "Heart At Work" behaviors guide how we operate:

• Put Heart Into Everything We Do: We approach each interaction with empathy, compassion, and a genuine desire to help


• Embrace Change and Innovate: We continuously seek better ways to serve our members and providers


• Speak Up with Courage: We encourage open communication and diverse perspectives


• Act with Integrity: We hold ourselves accountable to the highest ethical standards


• Together We Win: We collaborate across teams to achieve exceptional outcomes

We value diversity, inclusion, and belonging. arenaflex is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. We provide equal access to employment opportunities and accommodations for qualified individuals.

Ready to Join arenaflex?

If you're looking for a meaningful career where your work directly impacts people's health and well-being, apply today! This is your opportunity to join a team that truly cares about making health care more personal, convenient, and affordable for everyone.

Bring your heart to arenaflex. Every moment of health matters—and so does every interaction you have with our members. We can't wait to welcome you to our team.

Apply now and start your journey with arenaflex!