Billing Specialist - Hybrid

Cherry Health (Cherry Street Services) DBA; United States; Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Loan repayment program

Medical, Dental and Vision Insurance

Generous PTO

Paid holidays

403(b) Retirement Plan

Pet Insurance

Employee Assistance Program

Job summary

Cherry Health is seeking a Billing Specialist to support revenue cycle operations for behavioral health services. You will post payments, review denials, and manage accounts receivable while collaborating with clinical and billing teams.

This full-time, hybrid role requires strong knowledge of payer rules, HIPAA confidentiality, and excellent communication with payers and patients, with on-site Tuesdays and Wednesdays.

Qualifications

• High school graduate; relevant certification preferred.
• Minimum of two years’ healthcare billing experience.
• Experience posting payments and reconciling accounts.
• Familiarity with Medicaid/Medicare and payer denials.

Responsibilities

• Review and post payments from insurance and third-party funding sources.
• Respond to billing inquiries in a timely manner.
• Work aging accounts receivable to meet collection targets.
• Process payer rejections and resubmissions to maximize reimbursement.
• Educate front-end staff on payer requirements and changes.
• Research payer updates and communicate findings to leadership.
• Maintain patient communication by phone, mail, and in person.
• Assist with annual MDHHS cost reporting reconciliation.

Skills

Medical Billing

Payer Rules

Medicaid/Medicare

EHR Systems

AR Management

Denials Management

Communication Skills

Confidentiality

Adaptability

Bilingual skills

Education

High school diploma

CPB/CH-CBCS/RHIA/RHIT/CMRS certifications

Tools

Billing software

Practice management systems

Job description

OVERVIEW OF POSITION

The Billing Specialist is responsible for supporting the revenue cycle operations of the organization by ensuring accurate and timely billing, claim submission, insurance follow-up, and denial resolution for behavioral health services. This position works collaboratively with the billing and clinical teams to research and resolve claim rejections, denials, payment discrepancies, and insurance-related issues to support timely reimbursement and minimize outstanding accounts receivable. This is a full-time, benefit-eligible position, typically working Monday through Friday, 8:00 a.m. to 5:00 p.m. This position is hybrid, with the expectation of working onsite in the office Tuesdays and Wednesdays. 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• 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.

SKILLS / KNOWLEDGE / ABILITIES

• 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.

COMPETENCIES

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

EDUCATION / LICENSES / CERTIFICATES

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

EXPERIENCE

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.

PHYSICAL REQUIREMENTS

• 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 time.
• Specific vision abilities required by this job may include close vision, distance vision, and ability to adjust focus.
• May require bending, squatting, or kneeling and lifting up to 50 pounds.
• Use of Personal Protective Equipment (PPE) as required.

CLIENT POPULATION SERVED

May serve all patient populations.

WHO WE ARE

Cherry Health, Michigan’s largest Federally Qualified Health Center (FQHC), operates in six counties across the state, is based in Grand Rapids. With a team of more than 650 health care professionals at 20 locations, Cherry Health focuses on removing barriers, expanding access, and delivering comprehensive quality health care services to underserved communities, regardless of an individual’s insurance status or ability to pay.

OUR MISSION

Cherry Health provides comprehensive, high quality healthcare for all.

OUR VISION

Lives are transformed by creating a healthier community where every person has their best opportunity to thrive.

OUR VALUES

Collaboration – Support the Cherry Health mission by encouraging teamwork to accomplish organizational goals. Welcoming – We create an inclusive, respectful environment where everyone feels valued, supported, and comfortable contributing. Innovation – Embrace creativity to improve patient care and workplace efficiency while remaining curious and open to learning. Integrity – Uphold the highest ethical standards by being honest and trustworthy. Professionalism – Create a positive work environment where we care accountable for our decision, our action and the results.

BENEFITS

• Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles
• Medical, Dental and Vision Insurance for you and your family
• Generous Paid Time Off benefit – 4 weeks per year for full time
• Paid holidays - 8 full day paid holidays (Including Black Friday!) and 2 half day paid holidays!
• 403(b) Retirement Savings Plan with generous employer match - $ for $ match up to 5% MET and MESP 529 Savings Plans
• Pet Insurance!
• Employee Assistance Program

Our policy is to offer all employees and applicants for employment equal opportunity without regard to race, color, religion, gender, national origin, age, disability, genetic information, marital status, height, weight, sexual orientation, gender identity, or status as a covered veteran in accordance with applicable federal, state and local laws, or any other protected category.

Cherry Health, Michigan’s largest Federally Qualified Health Center (FQHC), operates in six counties across the state, is based in Grand Rapids. With a team of more than 800 health care professionals at 20 locations, Cherry Health focuses on removing barriers, expanding access, and delivering comprehensive quality health care services to underserved communities, regardless of an individual’s insurance status or ability to pay. We provide primary care, dental, vision, behavioral health, pharmacy services, substance abuse services, school based health centers and more.