Provider Paneling Specialist (26-142)

Kent County CMH Authority; Oregon; Hybrid; USD 30,000 - 40,000; Full time

Benefits offered by this job

Health insurance plans

Dental and vision insurance

13 paid holidays

Paid time off

Professional development

Tuition reimbursement

License reimbursement

Retirement plan

Employee assistance program

Life insurance

Disability insurance

Loan forgiveness programs

Job summary

Kent County CMH Authority is seeking a Provider Paneling Specialist to panel internal services' credentialed staff with third-party funders, including Medicare and commercial insurers. The Provider Paneling Specialist conducts Coordination of Benefit audits at external provider agencies.

This position is 40 hours a week, Monday through Friday, with remote work and possible travel within Kent County. Preferred candidates have 1 year of paneling or billing experience and a strong understanding of

Qualifications

• High school diploma or GED required.

Responsibilities

• Panel internal staff with third-party funders (Medicare and commercial insurers).
• Conduct Coordination of Benefit audits at external provider agencies.
• Maintain accurate credentialing records and support billing workflows.

Skills

Attention to detail

Organizational skills

Multicultural communication

Confidential information handling

Driver's license

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Database applications

Job description

Position : Provider Paneling Specialist Req.# : 26-142 FTE : Full-time, non-exempt Unit : UAW Department/Location : Registration and Billing Compensation: $21.99 - $29.15. The final job offer is based on several factors (internal equity, skills, education, experience, and credentials).

Attractive Benefits Package

• 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!

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.

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.

Minimum 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

Preferred Qualifications

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

Job interviews are being conducted in person or via the internet.

Network180 is an Equal Opportunity Employer. Network180 participates in E-Verify.

Network180 is a drug and alcohol-free workplace, which includes the prohibition of recreational marijuana use. Successful completion of a drug screen is part of our background check process.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.