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Network 180
Claims Examiner (26-122)
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Based on Michigan data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$73,007 / year median in Michigan
+2% projected growth
Job Description
Claims Examiner (26-122) Network 180 - 3.5 Grand Rapids, MI Job Details Full-time $21.99 - $29.15 an hour 18 hours ago Benefits License reimbursement Paid holidays Loan repayment program Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Employee assistance program Vision insurance Loan forgiveness Life insurance Retirement plan Qualifications Report preparation Medicare Customer service Word processing Spreadsheets Medicaid health insurance Database management Medicaid Productivity software
Full Job Description Position:
Claims Examiner Req.#: 26-122FTE:
Full-time, non-exemptUnit:
UAW Department/Location:
Registration & 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 Claims Examiner responsible for 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. There are no weekends, on-call, or holiday requirements for this position. This assignment is remote with some in-person meeting requirements within Kent County, Michigan.MINIMUM QUALIFICATIONS
- 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.
- Lived experiences with mental illness/developmental disabilities/substance use disorders valued.