Medical Billing Specialist - Remote
Description
Help Keep Healthcare Billing Accurate, Compliant, and Moving Forward
At Core-VA Solutions, we connect U.S. healthcare organizations with skilled remote professionals who make a real difference behind the scenes. With 20+ years of business expertise, we provide healthcare staffing solutions across nursing, medical billing, case management, HR, and administrative operations.
We’re looking for a Remote Medical Billing Specialist who is detail-oriented, dependable, and confident managing Medicaid billing and claims from submission through reconciliation.
What You’ll Do
- Responsible for the processing of full Revenue Cycle Management (RCM)
- Manage the end-to-end Medicaid billing cycle, including claim submission, follow-up, denials, corrections, and resubmissions.
- Verify eligibility, authorizations, service documentation, units, modifiers, and place of service before billing.
- Review service logs and reconcile them against claim data to identify discrepancies.
- Monitor claim status and proactively resolve billing issues and compliance gaps.
- Maintain accurate billing trackers, reconciliation sheets, and client records.
- Prepare billing and financial reports for U.S. healthcare clients.
- Assist with invoice tracking, payment reconciliation, and authorization-related forms.
- Communicate professionally with clients by email and phone regarding billing matters.
- Maintain compliance with applicable state billing requirements, documentation standards, and HIPAA confidentiality requirements.
Requirements
What We’re Looking For
We’re looking for a detail-oriented, organized, and proactive Medical Billing Specialist who can confidently manage Medicaid billing operations with minimal supervision.
- Nice to have is experience in using EMR/EHR systems and Payer Portals.
- Proven experience in full RCM, Medicaid billing, claims processing, denials, corrections, and resubmissions
- Hands-on experience with a Medicaid claims portal
- Strong knowledge of billing compliance, documentation validation, service logs, units, modifiers, and authorizations
- Proficient in Excel for tracking, reconciliation, and reporting
- Strong communication skills and experience supporting U.S. healthcare clients
- Knowledge of HIPAA and healthcare confidentiality requirements
- Experience with QuickBooks, invoicing, or accounting systems is a plus
- Comfortable working independently in a remote environment
Benefits
What We Offer
$7/hour | 100% Remote | Work From Home
- Paid Time Off (PTO)
- U.S. public holidays observed
- Structured training and ongoing support
- Respectful, collaborative, and people-focused work environment
- Trust, autonomy, and clear communication
- Long-term career opportunity with a stable, growing organization
Ready to Make an Impact?
If you have hands-on Medicaid billing, claims processing, and healthcare billing experience and take pride in getting the details right, we’d love to hear from you.
Apply today and join Core-VA Solutions in supporting the people and organizations behind better healthcare.
Skills
As published by workable · 15 questions · 4 written answers
Basics
First name, Last name, Email, Headline, Phone, Address, Photo, Education, Experience, Summary, Resume, Cover letter
Short answers (3)
- What are your hourly salary expectations in USD?
- What is your expected hourly rate in USD?
- When is your earliest available start date?
Pick from a list (8)
- *Are you based in the Philippines?
- Are you available to work with U.S. Central Time overlap?
- Have you worked in a fully remote Medical Billing role supporting a US company or client before?
- How many years of Medical Billing or Full RCM experience do you have?
- Experience in full RCM, Medicaid billing, claims processing, denials, corrections, and resubmissions?
- Do you have hands-on experience with any Medicaid claims portal?
- Have you independently submitted and managed a Medicaid claim - not just assisted?
- Are you available to work during US Central Time business hours?
Written answers (4)
- Can you list down what EMR/EHR systems, billing and claim portals, or other medical system, tools, or apps were you able to use in your experience.
- Briefly describe your hands-on independent experience with full RCM or Medicaid billing. What type of healthcare services or clients did you bill for, and what parts of the billing cycle were you responsible for?
- Describe the last claim denial you resolved. What was the reason for the denial and what steps did you take to correct and resubmit it?
- Tell us about a billing tracker, reconciliation report, or financial report you have maintained for a U.S. healthcare client. What information did you track, which tools did you use (such as Excel or QuickBooks), and how did you ensure the information was accurate?