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5 days ago
Core-va-solutions·5 days ago
5 days ago

Medical Billing Specialist - Remote

Central Luzon, PhilippinesFull-timeRemoteSenior · 20+ years

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About this role

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.

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