197 Customer Service Representative jobs in Hamburg Township
Customer Service Representative

Posted 8 days ago
Job Viewed
Job Description
We are currently looking for a Customer Service Representative to play a pivotal role in helping to support excellent customer service, customer retention and new customer acquisition. As a Customer Service Representative, you will serve as a main point of contact for our customers by handling inbound and outbound sales and service related calls and performing administrative functions ensuring the highest level of customer service, quality, efficiency and accuracy in all that you do.
**Responsibilities**
+ Handle incoming calls and utilize a proactive sales approach with every customer interaction to uncover additional sales and service opportunities
+ Maintain an in-depth knowledge of Suburban Propane products and services, customer account and billing processes, new customer information, and various policies and procedures related to product delivery and service
+ Present a professional, confident and enthusiastic image to develop trusting relationships with all customers
+ Provide high levels of customer account management by properly setting up and maintaining account information and data
+ Process and coordinate Accounts Receivable, Collections and Accounts Payable functions and activities
+ Handle administrative, data entry, reporting and reconciliation around asset and inventory controls and purchasing
+ Coordinate with Customer Service Center (CSC), regional and corporate employees to ensure high levels of customer service and achieve operational efficiencies
+ May assist with route forecasting and maintenance and with the scheduling of daily service work, installation and repairs
**Why join the Suburban Propane team?** Because we care about the physical, mental, and financial wellbeing of our employees and provide them with competitive pay plus incentive potential and an outstanding benefits package including:
+ Medical, dental, and vision (eligibility after just 30 days of employment)
+ Paid time off that increases with tenure
+ A 401(k) with company match and immediate vesting
+ A new employee training program and many opportunities for continued learning and career development
+ Disability and life insurance
+ Employee recognition program
+ Generous tuition assistance program
+ Propane discounts
For eligibility, the number of days provided under our PTO plan, and other information about benefits please visit: .
**Qualifications**
+ Minimum of 3 years of experience in a customer service role
+ Minimum of a High School diploma or GED preferred
+ Solid computer skills including Microsoft Office, data entry and the ability to run and analyze reports
+ Ability to multi-task and prioritize assignments in a team environment
Suburban Propane Partners, L.P. ("Suburban Propane") is a publicly traded master limited partnership listed on the New York Stock Exchange. Headquartered in Whippany, New Jersey, Suburban Propane has been in the customer service business since 1928 and is a nationwide distributor of propane, renewable propane, renewable natural gas ("RNG"), fuel oil and related products and services, as well as a marketer of natural gas and electricity and producer of and investor in low carbon fuel alternatives, servicing the energy needs of approximately 1 million residential, commercial, governmental, industrial and agricultural customers through approximately 700 locations across 42 states. Suburban Propane is supported by three core pillars: (1) **_Suburban Commitment_** - showcasing Suburban Propane's nearly 100-year legacy, and ongoing commitment to the highest standards for dependability, flexibility, and reliability that underscores Suburban Propane's commitment to excellence in customer service; (2) **_SuburbanCares_** - highlighting continued dedication to giving back to local communities across Suburban Propane's national footprint; and (3) **_Go Green with Suburban Propane_** - promoting the clean burning and versatile nature of propane and renewable propane as a bridge to a green energy future and investing in the next generation of innovative, renewable energy alternatives. For additional information on Suburban Propane, please visit .
_It's an amazing time to become a part of our team as we expand our national footprint and_ _make strides toward a sustainable, clean energy future!_
**Applications will be accepted until the position is filled.**
**As part of our pre-employment hiring process, background checks and drug screens are performed.**
**For more information about our hiring process, please visit:** ** Suburban Propane, we know that our strength comes from our diverse and inclusive team of employees who make a difference in the communities we serve across the country every day. As an Equal Opportunity Employer, we consider all applicants for employment without regard to an individual's age, sex, sexual orientation, gender identity, race, color, creed, religion, national origin or ancestry, citizenship, marital status, familial status, physical or mental disability, handicap, military or veteran status, genetic information, pregnancy, or any other category protected under federal, state or local law, regulation, or ordinance._
_In line with these values, Suburban Propane considers all qualified applicants, including those with criminal histories, in a manner consistent with applicable laws. To that end, the Company welcomes such applicants in accordance with the California Fair Chance Act, the Los Angeles City Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and the San Francisco Fair Chance Ordinance. Philadelphia applicants can review information pertaining to Philadelphia's Fair Criminal Record Screening Standards Ordinance here:_ ( )
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**Job Location** _US-MI-Brighton_
**Posted Date** _1 month ago_ _(9/2/2025 1:12 PM)_
**_Job ID_** _ _
**_Category_** _Customer Service_
**_Position Type_** _Full-time Regular_
Customer Service Representative-I (Medical Billing Call Center Customer Service Representative - ...

Posted 15 days ago
Job Viewed
Job Description
Full time
**Shift:**
Day Shift
**Description:**
**POSITION PURPOSE**
Work Remote Position
Work Hours: 9:30 a.m. to 6:00 p.m. (EDT) - Monday thu Friday
(Pay Rate: $ -$ )
Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service.
**ESSENTIAL FUNCTIONS**
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location.
Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner.
Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s).
Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor.
Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service.
Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders.
Performs other duties as needed and assigned by the supervisor.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
**MINIMUM QUALIFICATIONS**
High school diploma or Associate's degree in Accounting or Business Administration or related field, and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner.
Excellent verbal and written communication skills and organizational abilities.
Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs.
Accuracy, attention to detail and time management skills.
Ability to work independently and operate keyboard and telephone effectively.
Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
**PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS**
This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards.
Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication.
The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.
Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
Must possess the ability to comply with Trinity Health policies and procedures.
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Representative - Customer Service

Posted 15 days ago
Job Viewed
Job Description
**Responsibilities:**
+ Support customer base by answering questions, concerns, account inquiries as well as handling customer complaints.
+ Process payments for cash account customers.
+ Research and resolve customer problems, acting as the customer liaison between other departments when necessary.
+ Back-up support to sales counter with walk in and telephone inquiries.
**Qualifications:**
+ High School Degree or Equivalent required
+ Associates' Degree (U.S.)/College Diploma (Canada) preferred
+ 2-4 years of relevant experience
+ Solid interpersonal skills that allow one to work effectively in a diverse working environment
+ Able to effectively communicate both verbally and in writing
+ Able to work well under pressure
+ Strong attention to detail
+ Able to deal with people sensitively, tactfully, diplomatically, and professionally at all times
+ Computer literate, including effective working skills of MS Word, Excel, and e-mail
#LI-AV1
Service Customer Care Representative / Dispatcher

Posted 15 days ago
Job Viewed
Job Description
Location:
Plymouth, MI, US, 48170
**Company Description:**
Crown Equipment Corporation, one of the world's largest lift truck manufacturers, offers local support on a global scale with more than 15 manufacturing facilities worldwide and more than 500 retail locations in over 80 countries. Our global sales and service network provides our customers with a local resource for a wide variety of quality material handling equipment, fleet management solutions, warehouse products and support services to meet their needs anytime, anywhere.
**Job Posting External**
**Job Duties**
+ Process incoming calls from both Crown customers and Service Technicians
+ Dispatch technicians
+ Enter technician payroll hours
+ Process parts and service billing
+ Create daily work orders
+ Maintain records and files
+ Assist other departments as needed
**Minimum Qualifications**
+ Less than 2 years related experience
+ High school diploma or equivalent
**Preferred Qualifications**
+ Excellent phone skills
+ Good communication, organizational, math and computer skills
+ Experience with Microsoft Office
+ Leadership skills, technical experience and knowledge a plus
+ Ability to multitask
**Work Authorization:**
Crown will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas or who need sponsorship for work authorization now or in the future, are not eligible for hire.
No agency calls please.
**Compensation and Benefits:**
Crown offers an excellent wage and benefits package for full-time employees including Health/Dental/Vision/Prescription Drug Plan, Flexible Benefits Plan, 401K Retirement Savings Plan, Life and Disability Benefits, Paid Parental Leave, Paid Holidays, Paid Vacation, Tuition Reimbursement, and much more.
EOE Veterans/Disabilities
IT Help Desk Analyst 1 (evening shift) - HYBRID (3 days per week onsite)

Posted 15 days ago
Job Viewed
Job Description
Full time
**Shift:**
**Description:**
**At least 3 days per week on-site required, in either Livonia, Michigan, or New Town Square, Pennsylvania.**
***NOTE: The majority of this work will be in a high volume call center style environment.**
***Preferred Skills: Service Now, Microsoft O365 suite, Azure, and Multi-factor authentication.**
Under general supervision is responsible for providing the single point of customer contact, support or resolution of basic inquiries, requests, and problems arising from software/hardware of all supported TIS systems.
**ESSENTIAL FUNCTIONS**
+ Knows, understands, incorporates and demonstrates the mission, vision and values of Trinity Health in leadership behaviors, practices and decisions.
+ Addresses all customer contacts (e.g. phone, email, self-serve, webchat, and online access) promptly and efficiently within a specific timeframe in order to provide a defined level of service and availability to the customer. Provides initial support or escalates calls to appropriate system support teams.
+ Assists majority of customers in resolving their issue during first contact, may request assistance from Senior IS Service Desk Support. Resolves problems for various applications, password reset/unlocks, multi-factor authentication (MFA), resets printers/terminals and provides user education on all TIS supported systems and telecommunications.
+ Demonstrates an ability to understand the customer's needs through developed listening and trouble shooting skills. Conveys information in a positive, effective and clear manner in individual and group conversations.
+ Utilizes available resources as obtained through training to assist in troubleshooting issues in a call center environment. Documents issues in the call tracking system utilizing clear and concise problem descriptions.
+ Understands and follows defined departmental policies, procedures and processes in a team environment.
+ May be responsible for and familiar with provisioning and user account maintenance. Interfaces with users and appropriate personnel providing login ID, access, connectivity and emergency removal to applications and systems.
+ Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
**MINIMUM QUALIFICATIONS**
+ Associate's degree in Computer Science or Information Systems or vocational training and certification in computers or an equivalent combination of education and experience is preferred.
+ Minimum of one (1) year customer service experience or demonstrated ability is required.
+ At least two (2) years of experience providing basic support and understanding of IS systems, PC and/or Microsoft applications, mainframe, midrange, WAN, telecommunication and various clinical applications is preferred. An understanding of the interactions between system components is also desired.
+ Must be proficient in the use of computers in order to provide initial system telephone support service. Experience in utilizing a call-tracking tool is desired.
+ Basic knowledge of the call center environment and the importance of time management skills desired.
+ Well-developed typing/keyboard skills required (40 WPM).
+ Working knowledge of Active Directory and Azure Active Directory.
+ Must be comfortable operating in collaborative, shared leadership environments.
+ Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.
**PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS**
+ Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
+ Must possess the ability to comply with Trinity Health policies and procedures.
+ Ability to read, analyze, and interpret general business periodicals, technical procedures, or governmental regulations.
+ Ability to write reports, business correspondence, and procedure manuals.
+ Required to be able to push/ pull and lift objects (computers, monitors, printers) weighing up to 50 pounds.
_The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned._
**Our Commitment**
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
Call Center Quality Coordinator
Posted 6 days ago
Job Viewed
Job Description
**Job Description** :
**We are immediately hiring a Call Center Quality Coordinator -Remote position in Novi, MI for our Supply Chain Solutions division. Apply here today to speak with a Recruiter about the position and perks of joining our Ryder Ever Better Team.**
+ Pay Type: Non-Exempt / Paid Weekly
+ Hourly Pay: $15.25 based on experience.
+ Schedule: Monday-Friday 2:00 p.m. - 10:30 p.m. with flexibility to work paid overtime at least 2 Saturdays per month.
When Fortune 500 businesses and new startups need supply chain solutions, they look to our industry-leading logistics experts. At Ryder, there is more to being a supply chain professional than working on some of the nation's biggest brands. We make sure you are also getting the diverse experience, advancement opportunities, all from an industry-leading Fortune 500 company.
Here are a few of the many benefits when working with us:
+ Medical, Dental, Vision Benefits start at 30 Days
+ 401 (K) Savings Plan with a company match
+ Discounted employee stock purchase options
+ Quality employee discounts that actually save you money on tools, cars, appliances, travel and more
+ All major holidays paid and Paid time off within your first year
+ Up to 12 weeks paid maternity leave
**SUMMARY**
The Call Center Quality Coordinator is responsible for performing and accessing quality phone and/or case audits to identify potential process inefficiencies and operational inefficiencies while gauging the quality of work performed by all departmental agents. Specific responsibilities of this role will include performing daily case and/or call audits while accessing performance issues with management, tracking the audits, scoring the performance of the team members, and writing audit reports on a daily basis. The candidates must possess excellent interpersonal skills, both written and oral are required to effectively communicate audit observations. The candidate will be expected to exhibit the ability to translate and effectively communicate operational trend issues to their department leaders
The Quality Auditor must be able to balance multiple projects and effectively manage their time to meet deadlines and commitments to our department. The position requires strong analytical and technical skills, as well as careful attention to detail and commitment to a high quality of work
**ESSENTIAL FUNCTIONS**
Plan and perform case and/or call audits using Ryder's key applications, databases, and systems. Draft audit reports and communicate results to management
Identify and evaluate business and technology issues that hinder team efficiency while working with management to improve the case management process
Work independently and as part of a team to achieve project objectives while performing quality assessments, as well as work with a group to better the transaction experience
Work with the departmental leadership team assessing modifications of business procedures to ensure customer satisfaction is being upheld while mitigating risk. Identify process improvements for key business areas
**ADDITIONAL RESPONSIBILITIES**
Performs other duties as assigned
**EDUCATION**
H.S. diploma/GED
Bachelor's degree in management information sciences, computer science, accounting or related field preferred.
**EXPERIENCE**
Two (2) years or more experience in audit preferred
**SKILLS**
Demonstrates analytical skills.
Demonstrates a high commitment to quality.
Strong verbal and written communication skills.
Possesses flexibility to work in a fast paced, dynamic environment.
Excellent organizational skills.
Ability to simultaneously handle multiple priorities.
**KNOWLEDGE**
Accounting or professional services firm experience a plus; intermediate level; preferred.
experience with MMC/RCRC application, Openscape, Verint, SMO, MS Office Suite.; intermediate level; preferred.
Auditing experience or technical expertise in the following areas preferred: SAP, Mainframe, Hyperion, AS400, SQL, Oracle, and Unix.; intermediate level; preferred.
experience with reviews of significant IT projects and familiarity with development and project management best practices.; intermediate level; preferred.
**LICENSES**
**TRAVEL**
None
**Apply Here With Ryder Today**
We want YOU to join our family made up of Proud Women and Men in Logistics who work alongside Military Reserve and Veterans we hire every day!
here to see all Opportunities at Ryder: #FB #INDexempt
**Job Category:** Customer Service
**Compensation Information** :
The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below:
**Pay Type** :
Hourly
Minimum Pay Range:
15.25
Maximum Pay Range:
15.25
Benefits Information:
**For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan.
Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
**Important Note** **:**
Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned.
Security Notice for Applicants:
Ryder will only communicate with an applicant directly from a (@ryder.com) email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through .
Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at or .
**Current Employees** **:**
If you are a current employee at Ryder, please click here ( to log in to Workday to apply using the internal application process.
_Job Seekers can review the Job Applicant Privacy Policy by clicking here ( ._
#wd
Call Center Representative - Physical Therapy Clinic
Posted 1 day ago
Job Viewed
Job Description
**_Employment Type: Full-Time / Part-Time_**
**_Compensation: Competitive Pay_**
Are you a friendly, organized, and detail-oriented individual who enjoys helping others? Our growing physical therapy clinic is looking for a **Call Center Representative** to be the first point of contact for patients seeking care and support. If you thrive in a fast-paced environment and want to be part of a team focused on improving lives, we'd love to hear from you!
** About Us:**
We are a patient-centered physical therapy clinic dedicated to helping individuals recover, strengthen, and thrive. Our team of licensed therapists and support staff work closely with patients to provide customized treatment plans and exceptional care.
**Job Description**
** Key Responsibilities:**
+ Answer incoming phone calls in a courteous, professional manner
+ Schedule, confirm, and reschedule patient appointments
+ Provide information about our services, therapists, and clinic policies
+ Verify insurance coverage and collect necessary patient details
+ Assist with appointment reminders, follow-ups, and general inquiries
+ Accurately enter and update patient information in the scheduling system
+ Communicate effectively with clinical staff to ensure smooth workflow
**Qualifications**
+ Previous experience in a medical call center or healthcare office (preferred but not required)
+ Excellent verbal communication and customer service skills
+ Strong attention to detail and ability to multitask
+ Familiarity with medical terminology and insurance verification is a plus
+ Proficient with computers, scheduling software, and basic office tools
+ Bilingual (English/Spanish) a plus
**Additional Information**
+ Competitive pay and growth opportunities
+ Supportive and collaborative team environment
+ On-the-job training and development
+ Health benefits (for eligible employees)
+ Meaningful work helping people improve their quality of life
We are proud to be an equal opportunity and affirmative action employer. We prohibit discrimination and harassment of any kind based on race, color, religion, national origin, sex (including pregnancy), sexual orientation, gender identity, gender expression, age, veteran status, genetic information, disability, or other applicable legally protected characteristics. If you'd like to view a copy of the company's affirmative action plan or policy statement and/or if you would like to request an accommodation due to a disability, please contact us at
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Adjudicator, Provider Claims (LTSS Call Center)

Posted 15 days ago
Job Viewed
Job Description
**Job Summary**
The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems.
**Knowledge/Skills/Abilities**
+ Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems.
+ This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing.
+ Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions.
+ Assists in the reviews of state or federal complaints related to claims.
+ Supports the other team members with several internal departments to determine appropriate resolution of issues.
+ Researches tracers, adjustments, and re-submissions of claims.
+ Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.
+ Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management.
+ Handles special projects as assigned.
+ Other duties as assigned.
Knowledgeable in systems utilized:
+ QNXT
+ Pega
+ Verint
+ Kronos
+ Microsoft Teams
+ Video Conferencing
+ Others as required by line of business or state
**Job Function**
Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators.
**Job Qualifications**
**REQUIRED EDUCATION:**
Associate's Degree or equivalent combination of education and experience;
**REQUIRED EXPERIENCE:**
2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems.
1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry
**PREFERRED EDUCATION:**
Bachelor's Degree or equivalent combination of education and experience
**PREFERRED EXPERIENCE:**
4 years customer service, claims, provider and investigation/research experience.
LTSS claims experience
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $38.37 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.