Claims Examiner

Network180 - Kent County Community Mental Health

. Accurately process, adjust, and pay claims submitted by Network180’s provider network.

Posted 11/5/2026full-timeGrand Rapids • Michigan • United StatesMid-LevelSenior💰 $22 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing, coding, and claims processing, with a strong understanding of Medicaid, Medicare, and third-party insurances. Proficient in advanced computer skills and effective communication, ensuring accurate claims management and customer service.

Highest-signal resume keywords

Medical BillingClaims ProcessingMedicaid KnowledgeAdvanced Computer SkillsCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical BillingClaims ProcessingCodingSpreadsheet PreparationDatabase Management

Soft Skills

Excellent CommunicationProblem-SolvingTime ManagementCustomer Service

Tools & Technologies

Word ProcessingSpreadsheetsDatabase Management SoftwareEmail

Industry Keywords

MedicaidMedicareThird-Party InsuranceBehavioral HealthSubstance Abuse Treatment

About the role

Key responsibilities & impact

Accurately process, adjust, and pay claims submitted by Network180’s provider network.
Work 40 hours per week, Monday through Friday, 8:00 am to 5:00 pm.
Attend in-person meetings in Kent County, Michigan, as needed.
Support Network180, the behavioral health community organization responsible for mental health, substance abuse treatment coordination, and developmental disabilities services for Kent County.

Requirements

What you’ll need

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.
Candidates must reside in the state of Michigan and be available to attend in-person meetings in Kent County, Michigan, as needed.
Successful completion of a drug screen is part of the background check process.
Network180 participates in E-Verify.
Lived experiences with mental illness/developmental disabilities/substance use disorders valued.

Benefits

Comp & perks

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!