Remote Claims Examiner – Healthcare Billing

Kent County Cmh Authority; Grand Rapids (MI); Remote; USD 30.000 - 40.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental insurance

Vision insurance

Paid holidays

PTO

Professional development

Tuition reimbursement

License reimbursement

Retirement plan

Employee Assistance Program

Life insurance

Disability insurance

Loan forgiveness programs

Zusammenfassung

Network180, the behavioral health authority for Kent County, is seeking a Claims Examiner to ensure accurate processing, adjustment, and payment of claims from our provider network. The role is based in Michigan as a remote position with in-person meetings as needed, 40 hours per week, Monday through Friday, 8:00 am to 5:00 pm.

The ideal candidate has strong medical billing and coding experience and knowledge of Medicaid/Medicare.

Qualifikationen

• High school diploma or GED and at least four (4) years of medical billing, coding, and/or claims processing experience; or an associate’s degree and two (2) years of 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 effectively.
• Excellent communication skills, both verbally and written.
• Excellent problem-solving techniques.
• Lived experiences with mental illness/developmental disabilities/substance use disorders valued.

Aufgaben

• Responsible for accurate processing, adjustment and payment of claims submitted by Network180’s provider network.
• May participate in in-person or virtual job interviews.
• Review and resolve claim discrepancies and ensure timely payments.
• Maintain accurate documentation and reporting as required.

Kenntnisse

Medical billing/claims processing

Advanced computer skills

Medicaid/Medicare knowledge

Analytical skills

Time management

Communication skills

Problem solving

Lived experiences with mental illness

Ausbildung

High school diploma or GED

Associate degree in health information technology

Tools

Word processing

Spreadsheets

Database management

Email

Jobbeschreibung

Network180, the behavioral health authority for Kent County, is seeking a Claims Examiner to ensure accurate processing, adjustment, and payment of claims from our provider network. The role is based in Michigan as a remote position with in-person meetings as needed, 40 hours per week, Monday through Friday, 8:00 am to 5:00 pm.

The ideal candidate has strong medical billing and coding experience and knowledge of Medicaid/Medicare.