Provider Paneling Specialist (26-142)

Kent County CMH Authority

Grand Rapids, MIRemote onlyFull time
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Pay
$22 to $29
an hour
Location
Grand Rapids, MI
Work style
Remote only
Job type
Full time
Posted
Oct 21
1 day ago
Career path

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About the company

Kent County CMH Authority

Mental Health Care · 201 to 500 employees

Network180, Kent County Community Mental Health, connects adults, youth and families to services for mental health, substance use or intellectual & developmental disabilities.

Kent County CMH Authority on LinkedIn

What you'll do

  • Panel credentialed internal staff with third-party funders, including Medicare and commercial insurers.
  • Conduct Coordination of Benefits audits at external provider agencies.

What you need

  • Requires a high school diploma or GED, at least one year of insurance paneling, credentialing, or billing experience, and demonstrated knowledge of healthcare billing, commercial insurance, Medicaid, and Medicare.
  • Candidates must have strong organizational and recordkeeping skills, proficiency with Microsoft Office and databases, the ability to safeguard confidential information, a valid driver's license, and reliable transportation; two years of medical practice business office experience is preferred.
  • Education: a high school diploma

Key skills

Insurance PanelingCredentialingHealthcare BillingMedicareMedicaidCommercial InsuranceCoordination of Benefits AuditsRecordkeepingAttention to DetailOrganizationMicrosoft ExcelMicrosoft WordDatabase ApplicationsConfidential Information HandlingCross-Cultural CommunicationProvider Information Management

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Perks

  • Health Insurance
  • Employer-Paid Dental Insurance
  • Employer-Paid Vision Insurance
  • Paid Holidays
  • Paid Time Off
  • Professional Development
  • Tuition Reimbursement
  • Professional License Reimbursement
  • Defined Contribution Retirement Plan
  • Employee Assistance Program
  • Life Insurance
  • Voluntary Life Insurance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Loan Repayment Programs

See full description on company page, apply now

Read the full posting here
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. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed on the job description are representative of the knowledge, skill, and/or ability required. For a detailed job description and responsibilities please review the job description.  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. Assistance with the application process may be requested through the Human Resources Department at 616 336-3909 [616%20336-3909] or jobs@network180.org [jobs@network180.org].  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.

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