Provider Paneling Specialist (26-142)
Kent County CMH Authority
Summary
Network180 is the behavioral health community organization responsible for the delivery of mental health, substance abuse treatment coordination, and developmental disabilities services for Kent County. We are seeking a Provider Paneling Specialist responsible for paneling internal services' credentialed staff with third-party funders, such as Medicare and commercial insurances.
Job description
Responsibilities
- Panel internal services' credentialed staff with third-party funders, such as Medicare and commercial insurances
- Conduct Coordination of Benefit audits at external provider agencies
- Maintain accurate records and safeguard sensitive and protected provider information
- Work 40 hours a week, Monday through Friday, 8:00 am to 5:00 pm
- Travel off-site to non-profit agencies and providers within Kent County as 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
Requirements
- 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
- Ability to work effectively in a multicultural environment and skills and capabilities of bridging language/cultural barriers to Network180 services within diverse communities
- 2 years' experience in a medical practice business office role preferred
Benefits
- Health Insurance
- Employer-Paid Dental Insurance
- Employer-Paid Vision Insurance
- 13 Paid Holidays
- Generous PTO
- 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 Forgiveness Programs
Company overview
Kent County CMH Authority is a community mental health organization serving residents of Kent County, Michigan. As a public mental health authority, it provides comprehensive behavioral health services to individuals with mental health conditions, developmental disabilities, and substance use disorders. The organization operates under Michigan's public mental health system and is responsible for coordinating and delivering essential mental health services to the local community. Kent County CMH Authority focuses on providing accessible, community-based care that includes crisis intervention, outpatient therapy, case management, residential services, and support programs for individuals and families. The authority works to promote mental wellness, prevent mental health crises, and support recovery through evidence-based practices and person-centered approaches. It collaborates with various community partners, healthcare providers, and social service agencies to create an integrated system of care that addresses the diverse needs of the population it serves.