Medical Claims Analyst

We are looking for an experienced Medical Claims Analyst to support Medicaid billing operations for a long-term contract opportunity in Cleveland, Ohio. This position focuses on claims-related analysis, authorization workflows, and eligibility validation to help maintain accurate billing and reimbursement activity. The ideal candidate brings strong Medicaid expertise, confidence working with 270/271 transactions, and the ability to interpret reporting data in a fast-paced onsite environment.Responsibilities:• Review Medicaid-related claims activity and analyze billing information to support timely and accurate reimbursement.• Manage pre-authorization and payer authorization processes, ensuring required approvals are secured before services are billed.• Generate, interpret, and reconcile 270/271 eligibility and response reports to confirm coverage and support service reauthorization.• Examine post-submission billing results to identify claim issues, track denials or rejections, and recommend corrective action.• Validate member eligibility data for Medicaid billing and maintain accurate supporting documentation for claims processing.• Assist with reauthorization workflows for ongoing services by using eligibility and transaction data to confirm continued coverage.• Provide reporting support related to Medicaid billing activity and help organize information needed for limited grant invoicing tasks.• Work closely with internal stakeholders to resolve billing discrepancies and improve the accuracy of claims-related processes.