Billing Specialist I - Hybrid

Cherry Health, Michigan’s largest Federally Qualified Health Center (FQHC), operates in six counties across the state and is based in Grand Rapids. With a team of more than 800 health care professionals at 20 locations, we focus on removing barriers, expanding access, and delivering comprehensive quality health care services to underserved communities, regardless of insurance status or ability to pay.

About the role

Responsible for working on a team to ensure proper billing for patient services to patients, insurance companies, and government agencies such as Medicare and Medicaid. Must adhere to organizational Policies, Procedures, Code of Ethics, and all licensing and accreditation standards. Must represent the organization’s Mission in all actions and communications.

Responsibilities

• Process payer rejections and outstanding claim reports to manage accounts receivable on a weekly basis.
• Run reports and review accounts according to payer guidelines.
• Communicate tactfully with patients regarding bills by telephone, mail, and in person.
• Utilize the collection agency as stated in Agency policy.
• Post insurance and patient payments as needed.
• Understand and adhere to Cherry Health’s compliance standards as they appear in the Corporate Compliance Policy, Code of Conduct, and Conflict of Interest Policy.
• Keep abreast of all pertinent federal, state, and Cherry Health’s regulations, laws, and policies as they presently exist and as they change or are modified.
• Perform other duties as assigned.

Requirements

• High school graduate or GED required.
• 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.
• Ability to read and write at a high school level.
• Ability to perform or willingness to learn computer-based tasks.
• Ability to learn the use of a calculator.
• Ability to deal with the public, colleagues, and professional staff in a courteous, pleasant manner.
• Ability to follow verbal and written instructions.
• Knowledge of medical terminology.
• Knowledge of health insurance policies and payer guidelines.
• Bilingual skills may be helpful.

Skills

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

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 the ability to adjust focus.
• May require bending, squatting, or kneeling and lifting up to 50 pounds.
• Use of Personal Protective Equipment (PPE) as required.

Schedule

This is a full-time, benefit-eligible position, typically working Monday - Friday, 8am - 5pm. This position is hybrid with the expectation of coming into the office at least two days a week.

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 employees.
• 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 – dollar-for-dollar match up to 5%.
• MET and MESP 529 Savings Plans.
• Pet Insurance.
• Employee Assistance Program.

Client Population Served

May serve all patient populations. The essential functions of this position must be able to be accomplished with or without accommodations.