[Hiring] Claims Examiner @Network180 - Kent County Community Mental Health

Role Description

We are seeking a Claims Examiner responsible for accurate processing, adjustment and payment of claims submitted by Network180’s provider network.

This position is 40 hours a week, Monday through Friday, 8:00 am to 5:00 pm. There are no weekends, on-call, or holiday requirements for this position. This is a Michigan-based remote position. Candidates must reside in the state of Michigan and be available to attend in-person meetings in Kent County, Michigan, as needed.

Qualifications

• High school diploma or GED and at least four (4) years of medical billing, coding, and/or claims processing experience; or associate’s degree in health information technology or related field and two (2) years of medical billing, coding, and/or claims processing experience.
• Advanced computer skills including word processing, spreadsheets, database management, and email.
• Knowledge of Medicaid, Medicare and third-party insurances.
• Skills and experience in analyzing information and preparing spreadsheets and reports.
• Ability to prioritize tasks and manage time in an effective and efficient manner.
• Excellent communication skills, both verbally and written.
• Excellent problem-solving techniques.
• Excellent customer service skills.
• Lived experiences with mental illness/developmental disabilities/substance use disorders valued.

Requirements

Job interviews are being conducted in person or via the internet. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed on the job description are representative of the knowledge, skill, and/or ability required.

Benefits

• Four health insurance plans
• 100% employer paid dental and vision insurance plans
• 13 paid holidays
• Generous PTO
• Professional development
• Tuition reimbursement
• Professional License reimbursement
• Defined contribution retirement plan
• Employee Assistance program
• Life and voluntary life insurance options
• Short and Long term disability
• Approved site for loan forgiveness (based on position and department): NHSC, STAR Loan Repayment, Behavioral Health Loan Repayment, MI Kids Now Loan Repayment and much more!

Company Description

Network180 employees make a difference in people’s lives every day, making our community a better place to live. We are the behavioral health community organization responsible for the delivery of mental health, substance abuse treatment coordination, and developmental disabilities services for Kent County. We need individuals who are passionate about making a difference by helping others.