What are the responsibilities and job description for the Medical Billing Specialist - Westlake position at Achievement Centers for Children?
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
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.
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
- 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
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.