Remote Healthcare Member Services Specialist – Per Diem, Florida (Work From Home)

About arenaflex

arenaflex is a forward-thinking, member-centric organization committed to delivering exceptional service, operational excellence, and meaningful health-related support to the communities we serve. Operating in a rapidly evolving healthcare landscape, arenaflex partners with health plans and members across Florida to ensure that every interaction is handled with care, accuracy, and a relentless focus on quality. Our remote call center team is the front line of that promise — the trusted voice that members turn to when they need answers, guidance, and reassurance about their health plan benefits.

If you are a compassionate, detail-oriented professional who thrives in a structured yet fast-paced environment, arenaflex invites you to bring your customer service expertise to a per diem, work-from-home role that values your contribution, supports your growth, and rewards your commitment to service excellence.

Position Summary

As a Remote Healthcare Member Services Specialist at arenaflex, you will serve as a vital liaison within our call center operations, providing accurate, timely, and empathetic support to health plan members. Success in this role is defined by your ability to communicate effectively, navigate complex information systems, manage competing priorities, and consistently meet or exceed department performance indicators — all while embodying arenaflex's core pillars of Quality/No Harm, Customer Experience, and Stewardship.

This is a per diem opportunity, offering flexibility while requiring a strong commitment to delivering outstanding service. The position is fully remote; however, candidates must reside within the state of Florida to be considered.

Key Responsibilities

Quality and Member Safety

• Identify and escalate any concerns that may affect members or compromise the Health Plan's ability to serve them.
• Deliver accurate, professional, and compliant service to all members, strictly adhering to departmental policies and procedures.
• Attend and actively participate in all required staff training sessions, surveys, and department meetings.
• Maintain absolute confidentiality in accordance with organizational and departmental guidelines.
• Contribute to achieving key departmental performance metrics, including average speed of answer, service level, and abandonment rate.

Customer Experience

• Respond promptly and thoroughly to member inquiries by researching, understanding, and clearly documenting plan information related to:
  • Covered benefits, exclusions, and prescription drug coverage
  • Eligibility, enrollment, and disenrollment processes
  • Participating provider networks
  • Claims payments and processes
  • Authorization procedures
  • Premium billing inquiries
  • Plan guidelines and member rights
• Assist health plan members in a caring, knowledgeable, and professional manner, representing arenaflex as a skilled healthcare service professional.
• Handle incoming prospective member sales inquiries by providing basic answers and routing qualified prospects to a licensed sales agent for closure.
• Support walk-in members at the customer service center in a timely and efficient manner when onsite support is required.

Stewardship and Operational Excellence

• Meet or exceed individual call center performance standards established by management.
• Proactively identify and elevate issues that may affect members or the Health Plan's ability to deliver quality service.
• Participate in special projects and improvement initiatives as requested or approved by management.

Qualifications

Required Qualifications

• High School diploma, G.E.D., or equivalent work experience. Some college coursework is preferred.
• A minimum of one (1) year of related work experience in a call center or customer service environment with direct member/customer interaction.
• Must be available to work the designated shift and overtime as business needs require.
• Ability to simultaneously talk and type while multitasking in a fast-paced environment.
• Comfort navigating multiple screens, software platforms, and computer applications while reviewing complex benefit information.
• Demonstrated ability to accurately type 45 words per minute while engaged in a live phone conversation.
• Intermediate to advanced proficiency with Microsoft Office applications and related software tools.
• Excellent verbal, interpersonal, and written communication skills.
• Superior customer service telephone skills, including active listening, empathy, and effective questioning techniques.
• Strong analytical and problem-solving skills with the ability to think critically, define issues, identify risks, and propose positive outcomes.
• Demonstrated ability to maintain a high level of motivation, initiative, and personal accountability.
• Solid organizational, prioritization, and time management capabilities.
• Proven ability to work collaboratively as part of a team while maintaining professionalism with colleagues at all levels.
• Excellent attendance record and flexibility to work a varied schedule, including potential weekends or evenings as needed.
• Strong knowledge of customer care processes, techniques, and best practices.

Preferred Qualifications and Bilingual Candidates

• Bilingual candidates fluent in both Spanish and English (speaking, reading, writing, and comprehension) are strongly encouraged to apply.
• Bilingual candidates must successfully pass the Bi-lingual/Medical Interpretation test administered by ATLA at arenaflex's Central Florida location.
• Prior experience in a healthcare, insurance, or health plan environment is a significant plus.

Physical and Mental Demands

• Ability to sit comfortably and view a computer screen for extended periods of time.
• Capacity to work effectively in a fast-paced and often stressful call center environment.
• Mental acuity to handle multiple tasks simultaneously, often within tight time frames.
• Emotional resilience and composure when assisting members with complex or sensitive issues.

Skills and Competencies for Success

To excel as a Remote Healthcare Member Services Specialist at arenaflex, you will draw on a balanced mix of technical proficiency, interpersonal skill, and operational discipline. You will be the kind of professional who listens first, asks the right questions, and follows through with accurate information. You will be comfortable working independently from a home office while staying connected to a supportive, team-oriented culture. You will treat every member interaction as an opportunity to build trust, demonstrate empathy, and reinforce arenaflex's reputation for service excellence.

Career Growth and Learning Opportunities

arenaflex is committed to investing in the professional development of every team member. As a per diem associate, you will have access to ongoing training, cross-functional learning opportunities, and the chance to deepen your expertise in healthcare customer service, member engagement, and call center operations. High-performing associates often find pathways to expanded responsibilities, specialized roles, and long-term career growth within arenaflex.

Work Environment and Company Culture

At arenaflex, our culture is built on respect, collaboration, accountability, and a shared commitment to the members we serve. Even in a remote work environment, you will experience a strong sense of connection to your team through regular virtual meetings, collaborative tools, and open communication with leadership. We celebrate diversity, encourage innovation, and believe that a supportive workplace is the foundation of exceptional service. arenaflex fosters an inclusive atmosphere where every voice is heard, and every contribution matters.

Compensation, Perks, and Benefits

arenaflex offers competitive per diem compensation along with a comprehensive benefits package designed to support your wellbeing and professional life. Perks may include flexible scheduling, remote work convenience, paid training, employee assistance programs, and access to wellness resources. Specific benefits and compensation details will be discussed during the interview process and tailored to your per diem status.

How to Apply

If you are a Florida-based customer service professional with a passion for helping others and a desire to work in a meaningful, member-focused environment, arenaflex wants to hear from you. Take the next step in your career and join a team that values your skills, respects your time, and recognizes your impact. Apply today to become a Remote Healthcare Member Services Specialist at arenaflex — where every call makes a difference.