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 DoResponsible 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 ForWe’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 resubmissionsHands-on experience with a Medicaid claims portalStrong knowledge of billing compliance, documentation validation, service logs, units, modifiers, and authorizationsProficient in Excel for tracking, reconciliation, and reportingStrong communication skills and experience supporting U.S. healthcare clientsKnowledge of HIPAA and healthcare confidentiality requirementsExperience with QuickBooks, invoicing, or accounting systems is a plusComfortable working independently in a remote environmentWhat We Offer$7/hour | 100% Remote | Work From HomePaid Time Off (PTO)U.S. public holidays observedStructured training and ongoing supportRespectful, collaborative, and people-focused work environmentTrust, autonomy, and clear communicationLong-term career opportunity with a stable, growing organizationReady 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.
2 days ago