MEDICAL BILLING SPECIALIST - REMOTE

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. 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 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.