Billing Specialist - Hybrid

Cherry Health • Grand Rapids, MI

3d • 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 collaborates 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 hybrid position, typically scheduled Monday through Friday from 8:00 a.m. to 5:00 p.m., with onsite work expected Tuesdays and Wednesdays.

The position must follow organizational policies, procedures, the Code of Ethics, and applicable licensing and accreditation standards, and represent Cherry Health’s mission in all actions and communications. It may serve all patient populations.

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), and 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 claim resubmission processes.
• Proficiency with electronic health records (EHR), practice management systems, and billing software.
• Strong analytical skills 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 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 health care setting is preferred; an equivalent combination of education and experience sufficient to perform the essential duties may also qualify.
• 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 promptly to billing and collection inquiries.
• Work outstanding accounts receivable to meet accounts receivable management expectations.
• Process payer rejections and outstanding claims in a timely manner to maximize reimbursement.
• Communicate and educate front-end staff at assigned locations about payer requirements and changes.
• 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 serve as a role model by providing guidance, support, and training to team members.
• Maintain an approachable, collaborative demeanor and contribute to a positive, supportive work environment.
• Perform other duties as assigned.
• Follow organizational policies, procedures, Code of Ethics, and applicable licensing and accreditation standards; represent the organization’s mission in actions and communications.

Benefits

• Medical, dental, and vision insurance for the employee and family.
• 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 match up to 5%.
• MET and MESP 529 Savings Plans.
• Pet insurance.
• Employee Assistance Program.
• Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles.

What This Job Offers

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