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
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Verify insurance eligibility and confirm coverage prior to services when needed
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Coordinate with payers to obtain prior authorizations and approvals
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Submit claims to Medicaid, commercial insurance carriers, and other funding sources through electronic billing systems
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Review claim status and follow up with payers to resolve claim rejections, denials, and documentation issues
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Partner with clinical and administrative teams to ensure documentation supports accurate claim submission
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Respond professionally to billing inquiries from families regarding coverage, balances, and payment responsibilities
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Maintain accurate billing records and assist with reporting and reconciliation activities
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Occasionally travel to local satellite offices as needed
Preferred
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Associate degree
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Experience using electronic medical billing platforms
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Knowledge of Ohio Medicaid billing guidelines
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Experience working in a nonprofit, behavioral health, therapy, or pediatric healthcare setting
Requirements:
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
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High school diploma or equivalent required
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Medical billing experience, including claim submission and payer follow-up
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Knowledge of Medicaid and commercial insurance billing processes
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Proficiency with Microsoft Excel, Outlook, and Microsoft Office
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Strong customer service, communication, and interpersonal skills
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Exceptional attention to detail with strong organizational and time management skills
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Ability to work independently while collaborating effectively with cross-functional teams
