Billing Specialist - Hybrid

Cherry Health • Grand Rapids, MI

4d • Hybrid

About The Position

The Billing Specialist supports Cherry Health’s revenue cycle operations by ensuring accurate and timely billing, claim submission, insurance follow-up, and denial resolution for behavioral health services. The role works collaboratively with billing and clinical teams to research and resolve claim rejections, denials, payment discrepancies, and insurance-related issues, supporting timely reimbursement and minimizing outstanding accounts receivable.

This is a full-time, benefit-eligible position, typically scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. The position is hybrid, with onsite work expected in the office on Tuesdays and Wednesdays. The role must adhere to organizational policies, procedures, the Code of Ethics, and applicable licensing and accreditation standards, and represent the organization’s mission in all actions and communications.

Cherry Health is Michigan’s largest Federally Qualified Health Center, based in Grand Rapids and operating across six counties. Its team of more than 650 healthcare professionals at 20 locations provides comprehensive healthcare services, with a focus on removing barriers and expanding access for underserved communities regardless of insurance status or ability to pay. The organization’s mission is to provide comprehensive, high-quality healthcare for all.

Requirements

• High school graduate or GED.
• Certification from a certifying body relevant to the assigned specialty is required. Examples include 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).
• 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 professional interactions with payers, patients, staff, and leadership.
• Strong organizational and time-management skills to manage competing priorities, meet deadlines, and achieve accounts receivable goals.
• Commitment to confidentiality, compliance, and accuracy in maintaining patient financial records.
• Adaptability to changing payer requirements, organizational needs, and workflow adjustments.

Nice To Haves

• At least two years of experience as a biller in a healthcare setting, or an equivalent combination of education and experience sufficient to perform the essential duties.
• Bilingual skills may be helpful.

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 effectively and efficiently to meet accounts receivable management expectations.
• Process payer rejections and outstanding claims promptly to support maximum reimbursement.
• Communicate and educate front-end staff at assigned locations about payer requirements and changes.
• Research payer updates and requirements as needed 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 serve as a 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.
• Perform other duties as assigned.
• Adhere to organizational policies, procedures, the 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 dollar-for-dollar match up to 5%.
• MET and MESP 529 savings plans.
• Pet insurance.
• Employee Assistance Program.

What This Job Offers

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