We are looking for an experienced Medical Claims Analyst to support Medicaid billing operations for a long-term contract opportunity in Cleveland, Ohio. This position focuses on claims-related analysis, authorization workflows, and eligibility validation to help maintain accurate billing and reimbursement activity. The ideal candidate brings strong Medicaid expertise, confidence working with 270/271 transactions, and the ability to interpret reporting data in a fast-paced onsite environment.<br><br>Responsibilities:<br>• Review Medicaid-related claims activity and analyze billing information to support timely and accurate reimbursement.<br>• Manage pre-authorization and payer authorization processes, ensuring required approvals are secured before services are billed.<br>• Generate, interpret, and reconcile 270/271 eligibility and response reports to confirm coverage and support service reauthorization.<br>• Examine post-submission billing results to identify claim issues, track denials or rejections, and recommend corrective action.<br>• Validate member eligibility data for Medicaid billing and maintain accurate supporting documentation for claims processing.<br>• Assist with reauthorization workflows for ongoing services by using eligibility and transaction data to confirm continued coverage.<br>• Provide reporting support related to Medicaid billing activity and help organize information needed for limited grant invoicing tasks.<br>• Work closely with internal stakeholders to resolve billing discrepancies and improve the accuracy of claims-related processes.
We are looking for a dependable Billing Clerk to join a well-established team in Ohio. This contract-to-permanent opportunity is ideal for someone who enjoys accurate financial work, communicates clearly, and wants to build a long-term career in a stable office environment. The person in this role will support billing and payment activities, work within Microsoft Dynamics, and contribute to smooth day-to-day administrative operations. We value reliability, consistency, and a detail-oriented approach in the workplace.<br><br>Responsibilities:<br>• Prepare and process customer billing transactions with a high degree of accuracy and attention to detail.<br>• Record and apply incoming payments while maintaining organized and up-to-date account information.<br>• Use Microsoft Dynamics to manage billing activity, review account details, and support routine financial operations.<br>• Coordinate with internal team members to confirm order information and ensure invoices align with completed entries.<br>• Answer inbound calls in a courteous and helpful manner, providing assistance or directing inquiries as needed.<br>• Review billing records and supporting documents to identify discrepancies and help resolve payment-related issues.<br>• Maintain clear financial documentation and perform general administrative tasks that support the office and accounting workflow.