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Welcome to Cherry Health - video about Cherry Health
Overview Of Position
The Supervisor, Billing is responsible for ensuring accurate billing for all services provided within Cherry Health, in alignment with the agency’s mission. This position oversees the Billing/Coding department’s activities, ensuring compliance with financial and billing policies. The Supervisor works closely with management, front-line staff, providers, payers, and other external sources to ensure billing accuracy, maximize revenue, and improve cash flow.
This role requires adherence to organizational policies, procedures, and ethical standards, representing the organization’s mission in all actions and communications.
This is a full time, benefit eligible, hybrid position.
Essential Duties And Responsibilities
- Leadership & Staff Development:
- Demonstrate leadership and management skills that foster a culture of mentoring, coaching, motivating, and engaging staff.
- Model and communicate key values that support Cherry Health’s mission.
- Empower staff by educating them to meet organizational needs and adjust staff schedules, priorities, and assignments to ensure operational efficiency.
- Supervise, train, evaluate competencies, and address performance issues in a timely and appropriate manner.
- Plan and facilitate meetings to communicate organizational updates and initiatives.
- Financial & Billing Oversight:
- Assist in the development and monitoring of department/program budget.
- Assist with maintaining reconciliation for annual cost reporting required by the Michigan Department of Health and Human Services (MDHHS).
- Lead staff on regulatory changes, ensuring they are informed and trained on updates.
- Manage patient accounts receivables (aging, balances, trends, etc.), and/or oversee month-end processes.
- Ensure billing is accurate, maximizes revenue, and promotes optimal cash flow.
- Analyze reports to ensure proper reimbursement, collection, and coding accuracy.
- Payer Relations & Policy Compliance:
- Maintain primary contact with payers and payer representatives to ensure smooth communication and claims processing.
- Participate in the formulation of policies related to patient accounts, sliding fee implementation, fees, write-offs, professional courtesy, and other billing/financial topics.
- Research payer updates and implement changes as required.
- Ensure compliance with Cherry Health's Corporate Compliance Policy, Code of Conduct, and Conflict of Interest Policy.
- Operational Coordination:
- Collaborate with the Information Systems department to troubleshoot system and software issues.
- Work with Accounting to resolve cash and posting issues.
- Coordinate with specialty service sites (e.g., Dental) to ensure proper billing and maximize reimbursement.
- Gather data from the claims clearinghouse, the Electronic Practice Management (EPM) system, and the electronic health record.
- Regulatory & Policy Adherence:
- Stay current on federal, state, and Cherry Health regulations, laws, and policies, and ensure staff adherence to compliance policies.
- Perform other duties as assigned.
Skills / Knowledge / Abilities
- Billing & Coding Knowledge:
- Understanding of insurance claim forms and the overall claims submission process.
- Familiarity with CPT (Current Procedure Terminology) and ICD (International Classification of Diseases) codes, ADA (American Dental Association) coding, and the Healthcare Common Procedure Coding System (HCPCS).
- Knowledge of third-party payers, including Medicaid and Medicare billing rules and requirements.
- Ability to troubleshoot, solve billing issues, and train others in billing processes.
- Analytical & Problem-Solving Skills:
- Ability to apply guidelines for patient accounts imposed by funding agencies (e.g., federal government).
- Ability to research billing issues online or through other channels and distribute the information accordingly.
- Communication & Confidentiality:
- Ability to instruct, train, and communicate clearly with staff and external stakeholders.
- Knowledge of maintaining agency and patient confidentiality.
- Specialty Insurance Knowledge (if applicable):
- Solid understanding of specialty insurance riders (e.g., dental insurance) may be required.
- Bilingual skills may be beneficial.
Competencies
- Collaboration
- Customer Service
- Diversity, Equity & Inclusion
- Innovation
- Integrity
- Professionalism
Education / Licenses / Certificates
- Required:
- Preferred:
- Associate’s degree in health information management, healthcare billing/coding, or a similar field.
- Certifications:
Must Be Certified By An Accredited Association, Such As
- Certified Professional Coder (CPC)
- Certified Professional Biller (CPB)
- Certified Coding Associate (CCA)
- Certified Coding Specialist (CCS)
- Certified Coding Specialist Professional (CCS-P)
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technologist (RHIT)
- Certified Dental Coder (CDC)
- Certified Medical Reimbursement Specialist (CMRS)
- Or equivalent certification.
Experience Required
- Experience as a biller, team leader, or supervisor in a healthcare billing setting, preferably within a Federally Qualified Health Center.
- Experience with Electronic Practice Management (EPM) systems and claims clearinghouses.
- Equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job.
Physical Requirements
- Possible exposure to patients/clients with illnesses and/or infections.
- Frequent telephone and computer use, requiring manual dexterity for writing and computer work.
- Sitting, standing, or walking for extended periods.
- Vision: Close vision, distance vision, and ability to adjust focus.
- May require bending, squatting, kneeling, and lifting up to 50 pounds.
- Use of Personal Protective Equipment (PPE) as required.
Client Population Served
May serve all patient populations.
Other Requirements Of The Position
The essential functions of this position must be able to be accomplished with or without accommodations.
Supervision Received
Work progress is checked occasionally, usually upon completion.
Supervision Given
- Supervises non-Cherry Health workers (e.g., contractors, consultants).
- Instructs and evaluates staff, assisting with performance appraisals.
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 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, residential re-entry services, school-based health centers and more.
Our Mission
Cherry Health improves the health and wellness of individuals by providing comprehensive primary and behavioral health care while encouraging access by those who are underserved.
Our Vision
Our community will be healthier because we will seek out and welcome those who need our services. All will be treated as family with integrated, coordinated care to improve health and personal well-being.
Our Values
- Collaboration – Support the Cherry Health mission by encouraging teamwork to accomplish organizational goals.
- Customer Service – Serve internal and external customers in a welcoming manner with compassionate care.
- Diversity, Equity & Inclusion – Build a stronger culture through treating all patients and staff with respect, dignity and compassion.
- 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
Cherry Health has excellent benefit offerings dependent on employment status. Check out a sample of the benefits available to our team members below!
- 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.
Seniority level
Seniority level
Not Applicable
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Hospitals and Health Care
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