Billing Specialist II

Cherry Health • Grand Rapids, MI

4d • Hybrid

About The Position

Cherry Health is seeking an experienced Billing Specialist to support its revenue cycle. The ideal candidate will have an active revenue cycle certification. This is a full-time, benefit-eligible position typically working Monday - Friday, 8 am - 5 pm. The role is hybrid, requiring onsite work at our downtown Grand Rapids location on Tuesdays and Wednesdays. Bilingual in Spanish is required. The Billing Specialist II is responsible for ensuring Cherry Health is compensated for services rendered, managing all aspects of patient accounts receivable, including insurance verification, billing, claims follow-up, and payment posting. The position requires adherence to organizational policies, procedures, code of ethics, and all licensing and accreditation standards, while representing the organization's Mission in all actions and communications.

Requirements

• Strong knowledge of medical billing processes, payer rules, and reimbursement methodologies, including Medicaid/Medicare and commercial insurance.
• Understanding of accounts receivable management, payment posting, and reconciliation procedures.
• Familiarity with payer rejections, denials management, and claims resubmission processes.
• Proficiency with electronic health records (EHR), practice management systems, and billing software.
• Strong analytical skills with the ability to research and interpret payer updates, identify discrepancies, and resolve issues.
• Effective written and verbal communication skills for professional interactions with payers, patients, staff, and leadership.
• Strong organizational and time-management skills to manage competing priorities, meet deadlines, and achieve A/R goals.
• Commitment to confidentiality, compliance, and accuracy in maintaining patient financial records.
• Adaptability to changing payer requirements, organizational needs, and workflow adjustments.
• Bilingual skills may be helpful.
• High school graduate or GED required.
• Certification from a certifying body dependent on assigned specialty required. Examples are the following: Certified Professional Biller (CPB), Community Health Billing and Coding Specialist (CH-CBCS), Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Medical Reimbursement Specialist (CMRS).
• 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.

Nice To Haves

• Active revenue cycle certification.

Responsibilities

• Review and post payments from all insurance, client, and third-party funding sources to ensure accurate patient financial records are maintained.
• Respond 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 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.

Benefits

• Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles
• Medical, Dental and Vision Insurance for you and your family
• Generous Paid Time Off benefit – 4 weeks per year for full time
• Paid holidays - 8 full day paid holidays (Including Black Friday!) and 2 half day paid holidays!
• 403(b) Retirement Savings Plan with generous employer match - $ for $ match up to 5%
• MET and MESP 529 Savings Plans
• Pet Insurance!
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED