Billing Specialist - Hybrid

Welcome to Cherry Health - video about Cherry Health

OVERVIEW OF POSITION :

The role of Billing Specialist II is to ensure that Cherry Health is paid for services rendered and is responsible for all aspects of accurate patient accounts receivable including but not limited to, insurance verification, billing, claims follow-up, and posting of payments.

This role will be part of our Billing Phone Team and will spend a majority of their time answering patient calls.

This is a full time, benefit eligible position typically working Monday - Friday with a hybrid schedule working two days a week at our downtown Grand Rapids location. Bilingual in Spanish required.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Review and post payments from all insurance, client, and third-party funding sources to ensure accurate patient financial records are maintained.
• Responds to billing and collection inquiries in a timely manner.
• Regularly work outstanding accounts receivable effectively and efficiently to meet accounts receivable management expectations.
• Process payer rejections and outstanding claims timely to ensure maximum reimbursement is received.
• Communicate and educate payer requirements and changes to front-end staff of your assigned locations.
• Research payer updates and requirements as needed and communicate with leadership on findings.
• Communicate tactfully with patients regarding bills by telephone, mail, and in person.
• Utilize the collection agency as stated in Agency policy.
• Assist and maintain reconciliation for annual cost reporting required by the Michigan Department of Health and Human Services (MDHHS).
• Post insurance and patient payments as needed.
• Serve as a mentor and role model by providing guidance, support, and training to team members.
• Maintain an approachable and collaborative demeanor to foster a positive and supportive work environment.
• Other duties as assigned.

SKILLS / KNOWLEDGE / ABILITIES :

COMPETENCIES :

EDUCATION / LICENSES / CERTIFICATES :

High school graduate or GED required.

Certification from a certifying body dependent on assigned specialty is preferred. Examples are the following :

Staff hired prior to September 2025 will not be required to obtain a certification.

EXPERIENCE :

At least two years' experience as a biller in a health care setting preferred, or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job listed above.

PHYSICAL REQUIREMENTS

Possible exposure to patients / clients with illnesses and / or infections. Frequent telephone and computer use, requiring manual dexterity for writing and computer use. Sitting, standing or walking for extended periods of time. Specific vision abilities required by this job may include close vision, distance vision, and ability to adjust focus. May require bending, squatting, or kneeling and lifting up to 50 pounds. Use of Personal Protective Equipment (PPE) as required.

CLIENT POPULATION SERVED :

May serve all patient populations.

Must adhere to the organizational Policies, Procedures, Code of Ethics, and all licensing and accreditation standards of the position. Must represent the organization's Mission in all actions and communications.

Who we are :

Cherry Health, Michigan's largest Federally Qualified Health Center (FQHC), operates in six counties across the state, is based in Grand Rapids. With a team of more than 800 health care professionals at 20 locations, Cherry Health focuses on removing barriers, expanding access, and delivering comprehensive quality health care services to underserved communities, regardless of an individual's insurance status or ability to pay. We provide primary care, dental, vision, behavioral health, pharmacy services, substance abuse services, residential re-entry services, school-based health centers and more.

Our Mission :

Cherry Health improves the health and wellness of individuals by providing comprehensive primary and behavioral health care while encouraging access by those who are underserved.

Our Vision :

Our community will be healthier because we will seek out and welcome those who need our services. All will be treated as family with integrated, coordinated care to improve health and personal well-being.

Our Values :

Benefits :

Cherry Health has excellent benefit offerings dependent on employment status. Check out a sample of the benefits available to our team members below!

Our policy is to offer all employees and applicants for employment equal opportunity without regard to race, color, religion, gender, national origin, age, disability, genetic information, marital status, height, weight, sexual orientation, gender identity, or status as a covered veteran in accordance with applicable federal, state and local laws, or any other protected category.