Claims & Membership Specialist
The Claims and Membership Specialist position is an excellent opportunity for a detailed individual that would enjoy being responsible for review/research/validation of provider claims in the ADAMHS Board claims system regarding the disposition of pended claims, researching provider billing errors, providing help desk functions and review/research/data verification and enrollment of new members, updating existing member records to reflect corrections and changes, researching membership errors, and providing membership help desk functions. Serves as liaison to providers as assigned.
For the full Job description and minimum qualifications please go to the Job Opportunities tab on our website: www.adamhscc.org.
MINIMUM QUALIFICATIONS
- High School Diploma.
- Three years experience in claims processing for a managed care or health insurance organization, or processing Medicaid billings in a publicly funded environment or 6 months’ experience using GOSH (Great Office Solution Helper), the electronic enrollment and claims processing system.
- Six months’ experience in Customer Service.
- Experience in a Windows based PC environment.
- Must be detail oriented. Possess strong organizational skills.
- Strong verbal and written communication skills.
- Demonstrated experience in troubleshooting and problem resolution.
- Must be flexible and adaptable to changing environments and work as part of a team.
The ADAMHS Board currently offers a hybrid work schedule upon completion of the probationary period.
Please submit Resume and Cover Letter no later than, 5:00 p.m. on Friday, September 26, 2025 to resumes@adamhscc.org for consideration.
*This position is not eligible for immigration sponsorship.*
The ADAMHS Board of Cuyahoga County is an Equal Opportunity Employer. Qualified individuals in recovery from mental illness and/or addictions are encouraged to apply for open positions.