Claims Examiner (26-151)
About The Position
Network180 is seeking a Claims Examiner to accurately process, adjust, and pay claims submitted by its provider network. Network180 is the behavioral health community organization responsible for coordinating mental health and substance abuse treatment and providing developmental disabilities services for Kent County. This is a Michigan-based remote position. Candidates must reside in Michigan and be available to attend in-person meetings in Kent County as needed. The position is 40 hours per week, Monday through Friday, 8:00 a.m. to 5:00 p.m., with no weekend, on-call, or holiday requirements. Interviews may be conducted in person or online. Successful applicants must pass a drug screen as part of the background check process. Network180 is a drug- and alcohol-free workplace, including a prohibition on recreational marijuana use. Reasonable accommodations may be available to enable individuals with disabilities to perform the essential functions.
Requirements
- High school diploma or GED and at least four years of medical billing, coding, and/or claims processing experience; or an associate’s degree in health information technology or a related field and at least two 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 insurance.
- Skills and experience analyzing information and preparing spreadsheets and reports.
- Ability to prioritize tasks and manage time effectively and efficiently.
- Excellent verbal and written communication skills.
- Excellent problem-solving skills.
- Excellent customer service skills.
- Must reside in Michigan and be available to attend in-person meetings in Kent County as needed.
- Successful completion of a drug screen as part of the background check process.
Nice To Haves
- Lived experience with mental illness, developmental disabilities, or substance use disorders is valued.
Responsibilities
- Accurately process, adjust, and pay claims submitted by Network180’s provider network.
Benefits
- Four health insurance plans
- Employer-paid dental and vision insurance plans
- 13 paid holidays
- Generous paid time off
- 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 insurance
- Access to loan forgiveness programs, subject to position and department eligibility
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
