Claims Examiner (26-122)

About the role

The Claims Examiner position at Network180 involves accurate processing, adjustment, and payment of claims submitted by Network180's provider network. This role is 40 hours per week, Monday through Friday, from 8:00 AM to 5:00 PM. It is remote with some in-person meetings required within Kent County, Michigan.

Responsibilities

• Accurate processing, adjustment, and payment of claims submitted by Network180’s provider network.
• Knowledge of Medicaid, Medicare and third-party insurances.
• Skills and experience in analyzing information and preparing spreadsheets and reports.
• Prioritize tasks and manage time effectively.
• 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

• 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.

Qualifications

• Lived experiences with mental illness/developmental disabilities/substance use disorders valued.

Skills

• 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.

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!

Pay

$21.99 - $29.15 per hour, final job offer based on internal equity, skills, education, experience, and credentials.

Schedule

Full-time, non-exempt, 40 hours per week, Monday through Friday, 8:00 AM to 5:00 PM. Remote with some in-person meetings required within Kent County, Michigan.