Senior Claims Examiner (26-96)
Kent County CMH Authority•Grand Rapids, MI
•$26 - $35•Remote
About The Position
Network180 is the behavioral health community organization responsible for the delivery of mental health, substance abuse treatment coordination, and developmental disabilities services for Kent County. We are seeking a Senior Claims Examiner responsible for the 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. This assignment is remote with some in-person meeting requirements within Kent County, Michigan.
Requirements
- Bachelor’s degree in Business Management, Health Care Administration, Public Administration or related field.
- At least two years of experience in a related field, such as billing, coding, and/or claims processing.
- 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.
- Any combination of education, training and experience providing the required knowledge, skills and abilities to perform the essential functions of the job.
Nice To Haves
- Lived experiences with mental illness/developmental disabilities/substance use disorders valued.
Responsibilities
- Accurate processing, adjustment and payment of claims submitted by Network180’s provider network.
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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
