Medical Billing Specialist - Remote

Core Va Solutions; Philippines; Teletrabalho; PHP 500 000 - 713 000; Tempo parcial

Vantagens oferecidas por esta oferta de emprego

Paid Time Off

U.S. public holidays observed

Structured training and ongoingsupport

Resumo da oferta

Core-VA Solutions is seeking a detail-oriented Remote Medical Billing Specialist to support Medicaid billing and claims processing for U.S. healthcare clients. The role emphasizes accuracy, HIPAA compliance, and strong communication in a remote setting.

You will handle full Revenue Cycle Management, verification of eligibility, and resolution of denials, while maintaining trackers and client records.

Qualificações

• Detail-oriented and proactive Medical Billing Specialist for Medicaid billing operations.
• Experience with full Revenue Cycle Management and Medicaid claims processing.
• Knowledge of HIPAA and healthcare confidentiality requirements.

Responsabilidades

• Process full Revenue Cycle Management for Medicaid billing from submission to reconciliation.
• Verify eligibility, authorizations, service documentation, and modifiers before billing.
• Monitor claim status and resolve billing issues to ensure compliance and accuracy.
• Prepare billing and financial reports for U.S. clients and maintain records.

Conhecimentos

Detail-oriented

Organized

Proactive

Strong communication

Experience supporting U.S. healthcare

Ferramentas

EMR/EHR systems

Payer Portals

Excel

Medicaid claims portal

QuickBooks / accounting systems

Descrição da oferta de emprego

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