Customer Service Representatives

45043 Middletown, Ohio Pizza Hut

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Customer Service Representatives

Gather round the good stuff with a career at Pizza Hut; because this is a place where great people are in great company. We have fun, and we offer personal challenges and growth. At Pizza Hut, we're always looking for fun and friendly people to serve America's Favorite Pizza to our customers. Join us at Pizza Hut and you'll get more: more for your career, your life, your family and your future. We have immediate opportunities for Customer Service Representatives. Flexible day, evening and weekend hours are available.

Responsibilities:

  • Answer the telephone with a smile in your voice
  • Take customer menu order, explain special offers, suggestive sell additional items and enter order accurately in POS system
  • Greet Carry-Out customers
  • Assist in preparing menu items
  • Assist with all cleaning and restaurant maintenance duties as needed

Requirements:

  • Enthusiasm and a willingness to learn
  • Commitment to customer satisfaction
  • Team Player
  • Strong work ethic
  • Friendly when interacting with customers and other team members
  • Handle customer problems efficiently and in a friendly manner

If you want to build a great career while providing fast, fun and friendly service to our customers, Pizza Hut is the perfect place to learn, grow and succeed!

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Help Desk Analyst

43026 Beavercreek, Ohio TEKsystems

Posted 7 days ago

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Description
workstation refresh project in need of a contractor for 6 months to get it over the finish line. - Workstation Refresh project & printer Refresh - Working w/ users to ensure that files are saved/ computers ready to be upgraded---new computer will be shipped - Refreshing all of the printers---pulling out old and putting new hardware around North America - O365 experience is needed- a lot of workstations to be completed. - Support/troubleshooting new computer setups (Win 11). - Imaging devices. - Strong organization/communication skills to record and schedule users for computer refresh. - Familiarity with SCCM is encouraged, but not mandatory. - Ability to come into the office (Hilliard). Depending on space at the new HQ; this will most likely be a hybrid position.
Skills
Imaging, windows 11, Support, Hardware, Troubleshooting, sccm, organizational and planning skills
Top Skills Details
Imaging,windows 11,Support,Hardware,Troubleshooting
Additional Skills & Qualifications
Additional Skills & Qualifications Soft Skills: - Professional and courteous personality dealing with clients in high pressure, fast paced environment. - Conflict resolution. - Ability to multitask. - Critical thinking skills. - Verbal communication and written communication skills. - Active listening. - Questioning and evaluating evidence.
Experience Level
Intermediate Level
Pay and Benefits
The pay range for this position is $25.00 - $28.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Hilliard,Ohio.
Application Deadline
This position is anticipated to close on Oct 8, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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Computer Systems/Help Desk Admin

Mason, Ohio MBS Pro Staffing

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Job Description

Job Description

MBS is hiring a Computer Systems/Help Desk Admin in Mason, OH. This position is full-time, temp to hire opportunity.

FULL JOB DESCRIPTION

PRINCIPAL DUTIES & RESPONSIBILITIES

  • This position is responsible for the installation, configuration, testing, network connectivity, daily operational support, maintenance, and troubleshooting of desktops, laptops, and associated peripherals as well as other electronic based systems used to support business operations.
  • Additionally, this position entails numerous administrative functions such as performing purchases of equipment and services from vendors and management of all mobile devices internally and externally including contracts with vendors.
  • Troubleshoot PC hardware and repair/replace PC-based components
  • Answer Help Desk calls/emails. Enter and maintain Helpdesk tickets in ticketing system.
  • Assist in the ongoing maintenance of various business supporting equipment: video conference equipment, theater video and audio equipment, scanners, projectors, etc.
  • Document s/w profiles for various common user roles: salesman, FSE, AE, etc.
  • Create and maintain PC ghost images of basic installation configurations
  • Configure new desktops/laptops for end users including all hardware, driver and application installs, and remote connectivity
  • Add, upgrade, and/or reinstall OS and software on desktops and laptops as needed
  • Trouble-shoot and assist users with various Microsoft products including but not limited to Office, Exchange, and Visio
  • Assist Network Engineer with basic administration tasks: rebooting servers, changing disk quotas, changing network passwords, etc.
  • Train end-users on use of remote connectivity
  • Work with, support the theater, and video conference equipment
  • Develop documentation for application installations and FAQ/knowledge database information to be used by other technicians and/or end-users
  • Reasonably maintain status and activity of current projects and/or helpdesk problems assigned to him/her
  • Ability to perform purchasing requisitioning functions with SAP environment.
  • Set up equipment at user desks
  • Help with virtual desktop in shipping
  • Desktop Imaging a plus.

REQUIREMENTS

  • 2-year degree preferred
  • Certified as a Microsoft Certified Professional (MCP) and Desktop Technician (MCDST) or have at least 3 years’ experience installing/configuring/trouble -shooting Windows-based desktops/laptops in a helpdesk environment. Completed network training.
  • Ability to work in fast-paced environment.
  • Ability to move or lift up to 50+ lbs.
  • Ability to reach, grasp, hold, push, pull, bend, twist, squat, climb, kneel.
  • Ability to utilize hand/eye coordination.
  • Capability to stand for prolonged periods of time
  • Communication skills.

WHY MBS ?

  • Weekly Pay
  • Exclusive Access Opportunities to V.I.P. Vault
  • Day 1 Benefits
  • Various Bonus Opportunities
  • Eligibility for Employee of the Month Rewards

ABOUT THE KABLE GROUP

For over 50 years, The Kable Group has been committed to connecting candidates looking for reliable work opportunities with companies in need of workforce solutions. We leverage our expertise in core industries to ensure that the needs of our clients and our candidates alike are satisfied. Whether it’s a professional position, skilled labor need, or an education opportunity, The Kable Group’s suite of solutions caters to finding the right fit, every time.

At the Kable Group, we do not just accept diversity — we celebrate it, we support it, and we thrive on it. Read our full diversity statement here.

This job description is not intended to be all-inclusive and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required.

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Help Desk Technician (TS/SCI Required)

45433 Wright Patterson AFB, Ohio NANA Regional Corporation

Posted 2 days ago

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Job Description

Akima Global Technology is looking for a Help Desk Technician III to work at Wright Patterson AFB, Ohio. To join our team of outstanding professionals, apply today!
**Responsibilities**
+ Provides Service Desk support 24 hours a day for 365 days per year and be the single point of contact for all IT related issues for both internal and external customers.
+ Provides walk-in customer support from M-Fr.
+ Provides updates in tickets in accordance with NASIC/SC policy and resolve all tickets to meet NASIC/SC Service Level expectations.
+ Provides quality customer service with less than 2 customer complaints/month. Service tickets daily to include walk-ins, phone calls, and user submitted trouble tickets.
+ Provides local registration authority (LRA) for SIPRNet tokens and JWICS PKIs.
+ Provides the following types of Level I1 and Level II support:
+ Remote Support: provide remote diagnosis/resolution of end-user requests/problems in a customer service oriented, team environment.
+ Documents all outages, errors, maintenance, issues, and contacts in the CFP log.
+ Performs monitoring (network, system, environmental) of multiple data centers/facilities utilizing a variety of scripts, web-pages, and commercial applications to include notification of subject matter expert (SME) for restoral.
+ Coordinates corrective action required by outside/parent agencies as required.
+ Be responsible for monitoring, opening, assigning, updating and closing tickets on up to 4 separate ticketing systems.
+ Troubleshoots assigned tickets using Standard Operating Procedures (SOP's).
+ Provides administrative support as required such as granting/revoking network access and file permissions; performing file/directory restorations; de-provisioning of email accounts; installation of desktop software.
+ Provides administrative support to user account creation and maintenance to include resetting account passwords and unlocking accounts.
+ Provides administrative support to users for group policy additions and deletions, org box additions and deletions, folder permission issuance and revocation. Provide desktop support at the customer's location as required such as adding workstations to the domain, troubleshooting hardware issues, installing drivers; desktop support includes Windows and Red Hat Linux workstations and mobile computing (i.e. laptops and tablets).
+ Provides 24-hour network and environmental monitoring and appropriate alarm reporting utilizing NASIC-provided tools/capabilities.
+ Uses the NASIC-provided network monitoring tool (E.g. Solarwinds) to monitor and support various networks and system assets.
+ Be able to navigate Active Directory and utilize standard Linux based commands.
+ Replaces workstations with like systems and reload all applicable user applications.
+ Coordinates with other duty sections such as hardware technicians and software administrators when additional Level II2 or Level III3 support is required.
+ Utilizes NASIC-provided environmental monitoring system (E.g. Site Scan) to discover and report environmental systems problems.
+ Follows the Standard Operating Procedures for backup and restoration.
+ Physically or remotely logs into the system and executes prepackaged Microsoft Installers (MSIs) or follow prescribed flowcharts/checklists.
+ Provides daily network status reports.
+ Assists Air Force Network (AFNET) Enterprise Service Desk (ESD) with resolution of Remedy trouble tickets.
+ Provides monthly functional area reports summarizing work accomplished, work planned in next month and important issues occurring during the month.
+ De-provision accounts, email, and folders as requested across NIPRNet, Cornerstone-Secret, and Cornerstone-Top Secret.
+ Acts as the trusted agent for all PKI revocations and issuance.
+ Acts as the trusted agent for all SIPRNet token revocation and issuance.
+ Acts as the LRA for SIPRNet tokens and JWICS PKI.
+ Virus scan media, transfer data from physical media, and move data between networks per NASIC Instruction 33-201.
**Qualifications**
+ Possess & maintain Information Assurance Technical (IAT) Level II certification as required by Air Force Manual (AFMAN) , Department of Defense (DoD) Directive , and DoD -M.
+ Active TS/SCI.
**Job ID**

**Work Type**
On-Site
**Company Description**
**Work Where it Matters**
Akima Global Technology (AGT), an Akima company, is not just another federal IT contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal projects as we support our shareholder communities in Alaska.
At AGT, the work you do every day makes a difference in the lives of our 15,000 Iñupiat shareholders, a group of Alaska natives from one of the most remote and harshest environments in the United States.
**For our shareholders,** AGT provides support and employment opportunities and contributes to the survival of a culture that has thrived above the Arctic Circle for more than 10,000 years.
**For our government customers, A** GT delivers new technologies and partners with leading edge commercial enterprises to deliver unique and innovative IT solutions.
**As an AGT employee,** you will be surrounded by a challenging, yet supportive work environment that is committed to innovation and diversity, two of our most important values. You will also have access to our comprehensive benefits and competitive pay in addition to growth opportunities and excellent retirement options.
We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. All applicants will receive consideration for employment, without regard to race, color, religion, creed, national origin, gender or gender-identity, age, marital status, sexual orientation, veteran status, disability, pregnancy or parental status, or any other basis prohibited by law. If you are an individual with a disability, or have known limitations related to pregnancy, childbirth, or related medical conditions, and would like to request a reasonable accommodation for any part of the employment process, please contact us at or (information about job applications status is not available at this contact information).
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Healthcare Call Center Specialist

Mason, Ohio EVERSANA

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Job Description

Job Description

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve.   We are EVERSANA.  

Job Description

THE POSITION:
The Healthcare Call Center Specialist primarily responsible is to interface with Patients, HCPs and Payers by providing reimbursement support for activities related to benefit coverage, prior authorization, claim denials, appeals, triage to third party support centers and general inquiry.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by:

  • Provide dedicated and personalized support delivered over the phone, CRM, and email.
  • Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs.
  • Assist with prior authorization and medical necessity processes, benefit verification and assistance in a manner that is consistent with industry best practice.
  • Determine when call reason is best handled by third party support center and triage accordingly.
  • Maintain positive attitude and a helpful approach to customers and clients.
  • Conduct enrollment intake for all incoming inquiries.
  • Participate in continuous quality improvements and training opportunities.
  • All other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

EXPECTATIONS OF THE JOB:

  • Assist callers with benefit verifications and providing support related to coverage, out-of-pocket costs and prior authorizations as needed
  • Triage to appropriate third party support centers
  • Focus on results in a professional, ethical, and responsible manner when dealing with patients, caregivers, customers, vendors, team members, and others.
  • Accepts being accountable and responsible in work practices and expectations. Delivers what is promised.
  • Fosters a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency.
  • Uses innovative critical and creative thinking to evaluate and solve work and customer issues.
  • Seeks assistance in solving work problems through collaboration and information seeking.
  • Learn, understand and follow all company and client policies and procedures.
  • Excellent attendance
  • Must be able to work rotating 8 hour shifts Monday through Friday.

The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.

An individual in this position must be able to successfully perform the expectations listed above.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

  • Strong pharmacy reimbursement experience, especially understanding of prior authorization process
  • Experience conducting benefit verifications with payers preferably supporting retail prescription drug products.
  • Knowledge of healthcare administration and specifically healthcare billing and reimbursement procedures and regulations
  • Knowledge of Retail Pharmacy Operations preferred
  • Excellent oral, written, and interpersonal communication skills.
  • Ability to multi task.
  • Positive attitude.
  • Accurate and detail-oriented.
  • Ability to work independently and function as a team player.
  • Ability to work in a fast paced, metric driven environment, while remaining patient minded.
  • Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.

PREFERRED QUALIFICATIONS:

  • Customer service and/or contact center experience.
  • Reimbursement/Patient Services experience.

PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:

The physical and mental requirements along with the work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position.

Office:  While performing the essential functions of this job the employee is frequently required to reach, grasp, stand and/or sit for long periods of time (up to 90% of the shift), walk, talk and hear; occasionally required to lift and/or move up to 25 pounds. The noise level in the work environment is usually moderately quiet, with frequent interruptions and multiple demands.

#INP



Additional Information

OUR CULTURAL BELIEFS:

Patient Minded I act with the patient’s best interest in mind.

Client Delight I own every client experience and its impact on results.

Take Action I am empowered and empower others to act now.

Grow Talent I own my development and invest in the development of others. 

Win Together I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity I create an environment of awareness and respect.

Always Innovate  I am bold and creative in everything I do.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at 

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RN - Nurse Advice Call Center

45444 Dayton, Ohio Cambridge Health Alliance

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Job Description

Location:  Commerce Place 

Work Days:  4:10 Hr Shifts per week

Category:  Registered Nurse

Department:  Nurse Advice  

Job Type: Full time

Work Shift: Various Shifts 

Hours/Week: 40.00 

Union Name: MNA Everett

Cambridge Health Alliance (CHA) is a leader in Primary Care, supporting a highly diverse population across the Boston metro-north region. Today, CHA serves more than 120,000 primary care patients during more than 300,000 annual visits. Services are available at 13 primary care centers, 3 teen health centers, via telehealth, and through some very special programs, right in patient homes. As a member of CHA Primary Care, you will be part of a dynamic team that values creativity and innovation. You will help deliver care across the entire spectrum of primary care – with internal medicine, family medicine, pediatrics, geriatrics and women’s health services. You will be in a team-based setting, where primary care works hand-in-hand with behavioral health, pharmacy, complex care and multilingual interpreter services. CHA is also a teaching hospital, with several primary care centers hosting CHA’s Harvard Internal Medicine residency and Tufts Family Medicine residency. 

Job Summary: Under the supervision of the Nurse Manager, the Remote Nurse Advice RN is responsible for telephonic and electronic patient portal messages for triaging symptom-based patient concerns. The Nurse assesses the patient’s needs, clinical symptoms, follows evidence based protocols embedded in the EMR and gives appropriate clinical advice. The Nurse will schedule appointments to meet patient needs with primary providers, specialists, and community resources as appropriate. The Nurse provides education and counseling to patients regarding a variety of health-related topics for patients of all ages including prenatal patients and documents in Epic EMR, as appropriate. This position is primarily remote. There will be a period of on-site training required. 

Qualifications:
Education/Training: A graduate of an accredited school of nursing. BSN Preferred.
Licensure: MA. RN Licensure required.
Work Experience: Requires 2 years of current primary care telephone triage experience.
Linguistic Capabilities: Ability to speak a second language preferred.

 
In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.

 

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.

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Service Manager (Onsite Call Center)

Dayton, Ohio Universal 1 Credit Union

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Job Description

Job Description

Universal 1 Credit Union (U1) is a not-for-profit financial institution that exists to create personal, community, and financial well-being. Our way of life is centered on being Trustworthy, Friendly, and Reliable and our go-to phrase is "Beyond What You Expect".

At U1, Service Managers are responsible for Overseeing the delivery of a full range of services to members and ensuring that members are effectively and professionally served following the U1 Values. This includes product and service support, making appropriate referrals, performing transactions, handling balancing, and providing excellent member service. Responsible for service center operational efforts such as following established policies and procedures and properly maintaining the facilities. Are responsible for service center leadership, which includes execution of the strategic plan, operations initiatives, and achieving service center goals.

SKILLS AND QUALIFICATIONS

Education/Certification:

  • High school graduate or equivalent.
  • Additional college coursework in business or finance preferred.
  • Required to attain and/or maintain NMLS certification.
  • May be required to have a current notary

Experience Required:

  • A minimum of 2-5 years of progressive financial experience in a financial institution
  • One (1) year of managerial experience OR three (3) years in a leadership role.
  • One (1) year of call center experience, preferred.

Knowledge/Skills/Abilities :

  • Understanding of the Credit Union's field of membership.
  • Thorough knowledge of Credit Union services and products.
  • Understanding of related legal and regulatory requirements.
  • Familiarity with service center functions, policies, and procedures.
  • Excellent communication, interpersonal, and supervisory abilities.
  • Organizational and analytical skills.
  • Ability to operate related computer applications and related business equipment.
  • Attention to detail.
  • Ability to maintain an effective and efficient workflow; and,
  • Strong project management skills.

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Adjudicator, Provider Claims (LTSS Call Center)

45410 Dayton, Ohio Molina Healthcare

Posted 15 days ago

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**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.
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Service Representative I (Call Center) (Onsite)

Dayton, Ohio Universal 1 Credit Union

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Job Description

Job Description

POSITION PURPOSE

Responsible for assisting all members effectively and professionally through a variety of electronic tools. This includes upholding the U1 Values, product and services support, making appropriate referrals, performing transactions, handling balancing and providing excellent member service.

QUALIFICATIONS

Education/Certification:

  • High school diploma or equivalent.

Experience Required:

  • 1 year of customer service experience is required.
  • Phone customer service is preferred.
  • Financial institution experience is preferred.

Knowledge/Skills/Abilities :

  • Excellent communication and public relations skills.
  • Professional appearance, dress, and attitude.
  • Ability to operate related computer applications and business equipment.
  • Solid math abilities.

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  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
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