Billing Specialist

Cherry Health•Grand Rapids, MI
•Hybrid

About The Position

The Billing Specialist is responsible for accurately and promptly posting insurance and patient payments, processing electronic remittance advice (ERA) and explanations of benefits (EOB), and completing payment reconciliation in the electronic medical record system. The role works closely with billing, accounts receivable, and revenue cycle teams to maintain accurate financial records, support timely account resolution, and comply with payer guidelines, organizational policies, and applicable FQHC billing requirements. This is a full-time, benefit-eligible hybrid position. The typical schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with onsite work expected on Tuesdays and Wednesdays. The position must follow organizational policies, procedures, ethics, and applicable licensing and accreditation standards, and represent the organization’s mission in all actions and communications. Cherry Health is a Michigan-based Federally Qualified Health Center serving six counties and operating 20 locations, with more than 650 health care professionals. It provides comprehensive health care services to underserved communities regardless of insurance status or ability to pay.

Requirements

  • High school diploma or GED.
  • 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, denial management, and claims resubmission processes.
  • Proficiency with electronic health records (EHR), practice management systems, and billing software.
  • Strong analytical skills, including researching and interpreting payer updates, identifying discrepancies, and resolving issues.
  • Effective written and verbal communication skills for 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 workflows.
  • At least two years of experience as a biller in a health care setting, or an equivalent combination of education and experience sufficient to perform the essential duties.

Nice To Haves

  • Certification from a certifying body appropriate to the assigned specialty, such as Certified Professional Biller (CPB), Community Health Billing and Coding Specialist (CH-CBCS), Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), or Certified Medical Reimbursement Specialist (CMRS).
  • Bilingual skills.

Responsibilities

  • Review and post payments from insurance, clients, and third-party funding sources to maintain accurate patient financial records.
  • Respond to billing and collection inquiries in a timely manner.
  • Work outstanding accounts receivable to meet accounts receivable management expectations.
  • Process payer rejections and outstanding claims promptly to support maximum reimbursement.
  • Communicate payer requirements and changes to front-end staff at assigned locations.
  • Research payer updates and requirements and communicate findings to leadership.
  • Communicate tactfully with patients about bills by telephone, mail, and in person.
  • Use the collection agency in accordance with agency policy.
  • Assist with 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.
  • Mentor and role-model for team members by providing guidance, support, and training.
  • Maintain an approachable and collaborative demeanor to foster a positive, supportive work environment.
  • Perform other duties as assigned.
  • Adhere to organizational policies, procedures, code of ethics, and applicable licensing and accreditation standards.
  • Represent the organization’s mission in actions and communications.

Benefits

  • Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles.
  • Medical, dental, and vision insurance for employees and their families.
  • Four weeks of paid time off per year for full-time employees.
  • Eight full-day paid holidays and two half-day paid holidays.
  • 403(b) retirement savings plan with employer matching dollar for dollar up to 5%.
  • MET and MESP 529 savings plans.
  • Pet insurance.
  • Employee Assistance Program.
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