Medical Billing Specialist

Job Description

Job Description

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

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.

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