Government Programs Customer Service Representative – Remote, Medicare/Medicaid Support, Claims & Eligibility Specialist for arenaflex

About arenaflex – Pioneering Oral Health & Community Wellness

arenaflex is a national leader in dental benefit administration, dedicated to improving oral health across the United States. With more than six decades of experience, arenaflex serves millions of members through innovative benefit plans, advocacy initiatives, and community‑focused programs. Our mission extends beyond teeth; we recognize that oral health is intertwined with public health, education, and economic development. By investing in vibrant, healthy communities, arenaflex creates a lasting impact for members, providers, and the broader society.

Our All In culture embodies a mindset of empowerment, collaboration, and service. Whether you’re advancing your career, supporting a teammate, or giving back to the community, you’ll find a supportive environment that encourages growth, celebrates diverse perspectives, and rewards dedication.

Position Overview

arenaflex is seeking enthusiastic, detail‑oriented individuals to join our Remote Government Programs Customer Service team. In this role, you will be the primary point of contact for members, providers, and clients navigating Medicare, Medicaid, and other government‑related dental programs. Your expertise will help ensure accurate eligibility verification, claim status updates, and grievance resolution—all while delivering a courteous, professional experience across multiple communication channels.

Key Responsibilities

• Respond promptly and professionally to inbound inquiries via telephone, email, fax, and U.S. mail, adhering to arenaflex’s service standards.
• Communicate eligibility, benefit, claim status, and payment information clearly, using proper etiquette, grammar, and punctuation.
• Identify the root cause of each call, provide accurate resolutions, and meet regulatory and contractual timelines.
• Guide callers through grievance and appeals processes, offering step‑by‑step assistance as needed.
• Document every interaction meticulously in the Customer Relationship Management (CRM) system, ensuring a complete audit trail.
• Maintain compliance with federal, state, and local regulations governing government dental programs.
• Achieve or exceed quality standards and call‑center metrics established for the position.
• Enter, adjust, and reconcile claims in arenaflex’s claims processing platform, ensuring data integrity.
• Collaborate with cross‑functional teams—including underwriting, provider relations, and compliance—to resolve complex issues.
• Participate in ongoing training, simulations, and assessments to continuously improve service delivery.

Essential Qualifications

• High school diploma or equivalent; an associate’s degree in business administration or a related field is preferred.
• Minimum of two years’ experience in a customer‑service environment that required the use of software applications, preferably within a call‑center supporting Medicare and/or Medicaid enrollees.
• Demonstrated proficiency with personal computers and Windows‑based software; ability to quickly learn arenaflex’s proprietary systems.
• Successful completion of arenaflex’s customer‑service simulation assessment (minimum score 62/100) and multitasking/call‑logging assessment (minimum score 65/100). Candidates who have previously passed these assessments at arenaflex or who have held a related customer‑service role are exempt.
• Strong written communication skills, evidenced by a passing score (minimum 62/100) on the email composition assessment.
• Ability to work a flexible eight‑hour schedule, starting as early as 7:55 a.m. and ending as late as 11:00 p.m., Monday through Friday.
• Excellent problem‑solving abilities, with a focus on delivering timely, accurate resolutions.

Preferred Qualifications & Additional Skills

• Experience with dental benefit administration, health‑care claims processing, or government program eligibility.
• Familiarity with HIPAA, ACA, and other health‑care regulatory frameworks.
• Certification in Customer Service Excellence (e.g., CCSP, HDI) or related professional development.
• Proven ability to thrive in a fully remote environment, demonstrating self‑discipline, time‑management, and effective virtual collaboration.
• Multilingual capabilities, especially Spanish, to serve a diverse member base.

Core Competencies for Success

• Communication Excellence: Clear, empathetic, and concise interaction with members, providers, and internal teams.
• Analytical Thinking: Ability to interpret eligibility rules, claim data, and regulatory guidelines.
• Attention to Detail: Precise documentation and data entry to maintain compliance and audit readiness.
• Adaptability: Comfort navigating changing policies, technology updates, and fluctuating call volumes.
• Team Collaboration: Proactive sharing of insights and best practices with peers and supervisors.
• Customer‑Centric Mindset: Commitment to delivering a “member‑first” experience in every interaction.

Career Growth & Learning Opportunities

arenaflex invests heavily in employee development. As a Government Programs Customer Service Representative, you will have access to:

• Structured onboarding and mentorship programs that accelerate your mastery of dental benefits and government regulations.
• Continuous learning pathways, including webinars, e‑learning modules, and certifications related to health‑care administration.
• Opportunities to transition into advanced roles such as Claims Analyst, Provider Relations Specialist, Compliance Auditor, or Team Lead.
• Cross‑departmental projects that broaden your exposure to underwriting, product development, and strategic planning.
• Regular performance feedback and career‑path planning sessions with senior leadership.

Compensation, Perks & Benefits

arenaflex offers a competitive total rewards package designed to support your health, financial security, and personal fulfillment:

• Base salary commensurate with experience, plus eligibility for annual incentive compensation tied to business goals.
• Comprehensive medical, dental, and vision coverage for you and eligible dependents.
• Short‑ and long‑term disability insurance, life insurance, and a 401(k) plan with company matching.
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) options.
• Tuition reimbursement or educational assistance for continued learning.
• Eight (8) hours of paid volunteer time each year to support community initiatives.
• Access to an on‑staff health coach, virtual lunchtime workouts, and a network of personal trainers.
• Remote‑work stipend for home office setup, high‑speed internet, and ergonomic equipment.
• Employee assistance program (EAP) offering counseling, legal, and financial resources.

Work Environment & Culture at arenaflex

Our remote workforce is united by a shared purpose and a vibrant, inclusive culture. Key aspects of the arenaflex experience include:

• All In Mindset: Every employee is encouraged to take ownership of their career, support colleagues, and contribute to community health initiatives.
• Diversity & Inclusion: arenaflex celebrates diverse thought, fosters an environment where all voices are heard, and promotes equity across all levels.
• Innovation Friendly: We empower team members to suggest process improvements, experiment with new technologies, and drive efficiencies.
• Well‑Being Focus: From virtual fitness classes to mental‑health resources, we prioritize holistic employee wellness.
• Recognition Programs: Regular awards and shout‑outs recognize outstanding service, teamwork, and community impact.

Application Process & Next Steps

If you are passionate about helping members navigate government dental programs, thrive in a fast‑paced remote setting, and want to be part of a purpose‑driven organization, arenaflex wants to hear from you. To apply, click the link below, submit your resume, and complete the required assessments. Our recruiting team will review your qualifications and reach out to schedule a virtual interview.

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Join arenaflex – Make a Difference Every Day

At arenaflex, your work directly influences the oral health and overall well‑being of millions of individuals. By delivering exceptional service to government program participants, you help ensure that essential dental benefits are accessible, understandable, and reliable. Join a team that values your expertise, supports your growth, and celebrates your contributions. Apply today and become part of a mission‑driven organization that truly goes All In for its people, its partners, and the communities it serves.