Billing Specialist - Bilingual Spanish

The role of this Billing Specialist will be supporting our billing phone team working with our patients to answer questions about their bill or receive payment. The Billing Specialist will work closely with the billing, accounts receivable, and revenue cycle teams to maintain accurate financial records, support timely account resolution, and ensure compliance with payer guidelines, organizational policies, and applicable FQHC billing requirements. This is a full-time, benefit-eligible position, typically working Monday through Friday, 8:00 a.m. to 5:00 p.m. The position is hybrid, with onsite work at the downtown Grand Rapids location on Tuesdays and Wednesdays. Bilingual in Spanish required.

Responsibilities

Support the billing phone team by answering patient questions about their bill or receiving payment; Review and post payments from all insurance, client, and third-party funding sources; Respond to billing and collection inquiries in a timely manner; Work outstanding accounts receivable effectively and efficiently; Process payer rejections and outstanding claims timely; Communicate and educate payer requirements and changes to front-end staff; Research payer updates and requirements and communicate findings with leadership; 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 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; Perform other duties as assigned

Requirements

Bilingual in Spanish required; High school graduate or GED required; 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; Strong organizational and time-management skills; Commitment to confidentiality, compliance, and accuracy; Adaptability to changing payer requirements, organizational needs, and workflow adjustments; Adherence to organizational Policies, Procedures, Code of Ethics, and licensing and accreditation standards; Physical requirements include frequent telephone and computer use, sitting, standing or walking for extended periods, and may require lifting up to 50 pounds

Nice to have

Certification from a certifying body preferred (CPB, CH-CBCS, RHIA, RHIT, or CMRS); At least two years' experience as a biller in a health care setting preferred; Bilingual skills may be helpful

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; Paid Time Off benefit of 4 weeks per year for full time; 8 full day paid holidays and 2 half day paid holidays; 403(b) Retirement Savings Plan with employer match up to 5%; MET and MESP 529 Savings Plans; Pet Insurance; Employee Assistance Program