[Hiring] Provider Paneling Specialist @Kent County CMH Authority

Role Description

We are seeking a Provider Paneling Specialist responsible for paneling internal services’ credentialed staff with third-party funders, such as Medicare and commercial insurances. The Provider Paneling Specialist conducts Coordination of Benefit audits at external provider agencies.

This position is 40 hours a week, Monday through Friday, 8:00 am to 5:00 pm. There are no weekends or holiday requirements for this position. While this assignment is remote, off-site travel to non-profit agencies and providers within Kent County may be required.

Qualifications

• High school diploma or GED
• 1 year of insurance paneling, credentialing, or billing experience required
• Demonstrated understanding of healthcare billing, commercial insurances, Medicaid, and Medicare
• Demonstrated attention to detail and maintaining accurate records
• Demonstrated advanced and highly honed organizational skills
• Proficient in Microsoft Office Excel and Word, and database applications
• Ability to work with and safeguard sensitive and protected provider information and other confidential information
• Possession of a valid driver’s license and access to reliable transportation for job-related use
• Lived experiences with mental illness/developmental disabilities/substance use disorders valued
• Ability to work effectively in a multicultural environment and skills and capabilities of bridging language/cultural barriers to Network180 services within diverse communities

Requirements

• 2 years’ experience in a medical practice business office role preferred

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!