Medical Billing Specialist - Remote

Visa Hunt; Philippines; Remote; PHP 518,000 - 691,000; Full time

Benefits offered by this job

PTO

U.S. public holidays observed

Structured training

Collaborative environment

Autonomy and clear communication

Long-term career opportunity

Job summary

Core-VA Solutions is seeking a Remote Medical Billing Specialist to manage Medicaid billing and end-to-end RCM for U.S. healthcare clients, ensuring accuracy and compliance. This role is 100% remote from the Philippines, with focus on Medicaid submissions and reconciliations.

You will use EMR/EHR systems and payer portals, verify documentation, and deliver timely financial reporting while upholding HIPAA standards. Strong communication is essential for client support.

Qualifications

• Experience with full Revenue Cycle Management (RCM) and Medicaid billing.
• Hands-on experience with a Medicaid claims portal.
• Proficiency in Excel for tracking, reconciliation and reporting.
• Knowledge of HIPAA and healthcare confidentiality requirements.
• Experience with EMR/EHR systems and payer portals.

Responsibilities

• Process full Revenue Cycle Management and Medicaid billing end-to-end.
• Submit claims, follow up, handle denials, corrections and resubmissions.
• Verify eligibility, authorizations, service docs, units and modifiers.
• Review service logs and reconcile with claim data.
• Monitor claim status and resolve billing issues and compliance gaps.
• Maintain billing trackers, reconciliation sheets and client records.
• Prepare billing and financial reports for U.S. healthcare clients.
• Assist with invoice tracking and payment reconciliation.
• Communicate with clients by email and phone on billing matters.
• Ensure compliance with state billing rules and HIPAA.

Skills

Detail orientation

Organized

Proactive

Strong communication

Tools

EMR/EHR systems

Payer Portals

Medicaid claims portal

Excel

QuickBooks / accounting systems

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

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

Originally posted on Himalayas