Billing Specialist

Cherry Health • Grand Rapids, MI

5d • Hybrid

About The Position

The Billing Specialist is responsible for accurate and timely posting of insurance and patient payments, processing electronic remittance advice (ERA) and explanations of benefits (EOB), and managing 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 ensure compliance with payer guidelines, organizational policies, and applicable FQHC billing requirements.

This is a full-time, benefit-eligible hybrid position, typically Monday through Friday, 8:00 a.m. to 5:00 p.m., 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 Cherry Health’s mission in all actions and communications.

Cherry Health is Michigan’s largest Federally Qualified Health Center, operating across six counties and providing comprehensive health services to 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 diploma or GED required.
• 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 A/R goals.
• Commitment to confidentiality, compliance, and accuracy when maintaining patient financial records.
• Adaptability to changing payer requirements, organizational needs, and workflow adjustments.
• At least two years of experience as a biller in a health care setting is preferred, or an equivalent combination of education and experience sufficient to perform the essential duties.
• Ability to meet the physical requirements described, including frequent telephone and computer use; sitting, standing, or walking for extended periods; possible bending, squatting, kneeling, and lifting up to 50 pounds; and use of PPE as required.

Nice To Haves

• Certification from a certifying body relevant to the assigned specialty is preferred. Examples include Certified Professional Biller (CPB), Community Health Billing and Coding Specialist (CH-CBCS), Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), and Certified Medical Reimbursement Specialist (CMRS).
• 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 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.

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 a dollar-for-dollar employer 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