Job Description
Job Description
Job Type : Full-Time
Location : Brecksville, OH (On-site)
Compensation : $22.00 – $27.00 per hour (based on experience)
Schedule : 40 hours / week, standard business hours
About the Role
We are seeking a detail-oriented Medical Claims Specialist to join a growing healthcare organization with a mission-driven focus on quality patient care and service excellence. In this role, you’ll manage the full lifecycle of medical claims—ensuring accuracy, compliance, and timely reimbursement from Medicare, Medicaid, and commercial insurance payers. This position requires strong technical billing expertise, a passion for problem-solving, and a commitment to delivering a positive experience for patients and healthcare partners alike.
What You’ll Do
- Prepare and submit medical claims to Medicare, Medicaid, and private payers
- Follow up on unpaid, underpaid, or denied claims; initiate appeals or resubmissions
- Research payer rejections, denials, and discrepancies to resolve issues and maximize reimbursement
- Verify and maintain patient insurance and demographic data
- Process CPT, ICD-10, and HCPCS coding specific to ambulance and medical transport services
- Handle incoming billing-related phone calls with professionalism and compassion
- Coordinate with internal dispatch and operations teams for billing documentation
- Review and process EOBs and ERAs to reconcile patient accounts
- Generate billing reports, assist with month-end closing, and support payment plans when needed
What You Bring
Required :
2+ years of experience in medical billing or revenue cycle (ambulance / EMS billing preferred)Strong knowledge of CPT, ICD-10, and HCPCS codesProficiency in clearinghouse portals and electronic claims processingExcellent verbal and written communication skillsHigh school diploma or GEDStrong organizational and customer service skillsFamiliarity with HIPAA and payer-specific compliance requirementsPreferred :
Associate’s degree in Healthcare Administration or related fieldCertified Professional Biller (CPB) or Certified Professional Coder (CPC)Medicare Part B billing experienceExperience with ambulance-specific billing practicesBilingual (English / Spanish) a plusWhat You Get
Competitive hourly pay ($22.00–$27.00 / hour)Full health, dental, and vision insurance401(k) with company matchPaid time off, holidays, and life insuranceHSA, EAP, and professional development supportOpportunities to grow your healthcare administration career