Job 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

• 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

$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.

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