Medical Billing Specialist - Westlake

About Achievement Centers for Children

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.

The Role

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 can balance professionalism with empathy when addressing billing questions.

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

Qualifications

• High school diploma

• Assoc Degree preferred

• 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

Why Join Us

We offer excellent health and wellness benefits, generous paid time off, a retirement savings plan, and professional development opportunities. You will be part of a mission driven organization and a team that values accuracy, compliance, and service.

Equal Opportunity Employer

Achievement Centers for Children values and promotes diversity and is proud to be an Equal Opportunity Employer.