Medical Billing Specialist - Westlake

Achievement Centers for Children•Westlake, OH

13d•Onsite

About The Position

Achievement Centers for Children is a Cleveland, Ohio based nonprofit that is nationally recognized for helping children with disabilities and their families achieve and thrive. Our work changes lives and so does the behind-the-scenes team that ensures services are supported through accurate and compliant medical billing. This role is ideal for someone who enjoys detail-oriented work, understands healthcare billing processes, and can balance professionalism with empathy when addressing billing questions.

Requirements

High school diploma
Medical billing experience, including claim submission and payer follow up
Experience with Electronic Medical Billing Platforms preferred
Knowledge of Medicaid and commercial insurance billing processes
Familiarity with Ohio Medicaid billing guidelines preferred
Strong customer service and interpersonal skills
Proficiency with Excel, Outlook, and Microsoft Office
High attention to detail, strong organization, and ability to work independently

Nice To Haves

Assoc Degree preferred

Responsibilities

Verify insurance eligibility and confirm coverage prior to services when needed
Coordinate with payers to obtain prior authorizations or approvals when required
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 rejections, denials, and documentation issues
Work with clinical and administrative teams to ensure documentation supports clean claim submission
Communicate with families about billing questions, coverage, and payment responsibility as appropriate
Maintain accurate billing records and support reporting as needed
Occasionally travel to a local satellite office as needed