Billing Specialist II

Welcome to Cherry Health - video about Cherry Health

Overview of Position:

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.

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.

This is a full time, benefit eligible position typically working Monday - Friday. This is a hybrid position with the expectation to come onsite to our downtown Grand Rapids location two days a week.

Essential Duties and 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 Cherry Health's 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.

Skills / Knowledge / Abilities:

• 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.

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 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.

Client Population Served:

May serve all patient populations.

The essential functions of this position must be able to be accomplished with or without accommodations. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required.

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.
• 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.