Billing Specialist

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The role of Billing Specialist II is to ensure that Cherry Health is paid for services rendered and is responsible for all aspects of accurate patient accounts receivable including but not limited to insurance verification, billing, claims follow-up, and posting of payments. This is a full‑time, benefit‑eligible position working 8 am–5 pm Monday–Friday. It is a hybrid role with onsite work at our downtown Grand Rapids location on Tuesdays and Wednesdays.

This role will support different projects to support the billing team. Bilingual in Spanish is preferred.

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

• 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.

• Customer Service
• Collaboration
• Integrity
• Respect
• Professionalism
• Learning

High school graduate or GED required. Certification from a certifying body dependent on assigned specialty is preferred. 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)

Staff hired prior to September 2025 will not be required to obtain a certification.

Must adhere to the organizational Policies, Procedures, Code of Ethics, and all licensing and accreditation standards of the position. Must represent the organization’s Mission in all actions and communications.

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.

Possible exposure to patients/clients with illnesses and/or infections. Frequent telephone and computer use, requiring manual dexterity for writing and computer use. Sitting, standing or walking for extended periods of…