Medical Billing Specialist

Description Medical Billing Specialist Westlake, OH Full-time Description Achievement Centers for Children is a Cleveland-based nonprofit that is nationally recognized for helping children with disabilities and their families achieve and thrive. Behind every service we provide is a dedicated team that ensures our billing processes are accurate, compliant, and responsive to the needs of the families we serve. We are seeking a Medical Billing Specialist to support accurate claim submission, timely billing follow-up, and professional communication with families and funding sources. This role is ideal for someone who enjoys detail-oriented work, understands healthcare billing processes, and is committed to providing exceptional customer service while maintaining compliance and accuracy. Hours: Full-time, first shift Working Days: Monday through Friday Hours per Week: 40 hours per week What You Will Do Verify insurance eligibility and confirm coverage prior to services when needed Coordinate with payers to obtain prior authorizations and approvals Submit claims to Medicaid, commercial insurance carriers, and other funding sources through electronic billing systems Review claim status and follow up with payers to resolve claim rejections, denials, and documentation issues Partner with clinical and administrative teams to ensure documentation supports accurate claim submission Respond professionally to billing inquiries from families regarding coverage, balances, and payment responsibilities Maintain accurate billing records and assist with reporting and reconciliation activities Occasionally travel to local satellite offices as needed Preferred Associate degree Experience using electronic medical billing platforms Knowledge of Ohio Medicaid billing guidelines Experience working in a nonprofit, behavioral health, therapy, or pediatric healthcare setting Requirements High school diploma or equivalent required Medical billing experience, including claim submission and payer follow-up Knowledge of Medicaid and commercial insurance billing processes Proficiency with Microsoft Excel, Outlook, and Microsoft Office Strong customer service, communication, and interpersonal skills Exceptional attention to detail with strong organizational and time management skills Ability to work independently while collaborating effectively with cross-functional teams Benefits We offer a comprehensive benefits package that includes health and wellness coverage, paid time off, a retirement savings plan, and opportunities for professional development and career growth. Achievement Centers for Children is proud to be an Equal Opportunity Employer and values a diverse and inclusive workplace. #J-18808-Ljbffr