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 Billing Clerk to join our team in Ohio in a contract-to-permanent role. This position supports the billing cycle for dialysis-related services by preparing accurate claims, monitoring outstanding balances, and helping maintain steady cash flow. The ideal candidate brings hands-on billing experience, can adapt quickly to established processes, and is comfortable working with billing platforms and Excel with minimal onboarding.<br><br>Responsibilities:<br>• Generate and submit monthly electronic claims for dialysis services provided across clinic locations, ensuring timely and accurate billing to payers.<br>• Review open accounts and track overdue balances, then communicate account status updates to revenue cycle leadership and finance stakeholders.<br>• Investigate billing issues, denials, and payment delays to support faster resolution and improved collections.<br>• Maintain detailed billing records and account documentation within the organization’s billing system.<br>• Assist with accounts receivable follow-up activities to help reduce outstanding patient and payer balances.<br>• Support revenue collection initiatives and complete additional billing-related assignments based on departmental priorities.<br>• Use billing software and spreadsheets to organize claim activity, reconcile information, and monitor account progress.