Senior Claims Examiner

Network180 - Kent County Community Mental Health

Senior Claims Examiner responsible for processing and adjusting claims for behavioral health services. Collaborates with stakeholders to ensure accurate payment and effective claims management.

Posted 7/9/2026full-timeGrand Rapids • Missouri • 🇺🇸 United StatesSenior💰 $2,604 - $3,452 per hourWebsite

About the role

Key responsibilities & impact

Responsible for the 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
Involves collaboration with various stakeholders for effective claims processing

Requirements

What you’ll need

Bachelor’s degree in Business Management, Health Care Administration, Public Administration or related field
At least two years of experience in a related field, such as billing, coding, and/or claims processing
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.

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!

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills & Tools

Claims ProcessingBillingCodingData AnalysisSpreadsheet PreparationReport PreparationDatabase ManagementWord ProcessingEmail Management

Soft Skills

Excellent Communication SkillsProblem-Solving TechniquesCustomer Service SkillsTime ManagementTask Prioritization