Remote Medicaid Billing & RCM Specialist

Core Va Solutions; Philippines; Remote; PHP 500,000 - 713,000; Part time

Benefits offered by this job

Paid Time Off

U.S. public holidays observed

Structured training and ongoingsupport

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Detail-oriented

Organized

Proactive

Strong communication

Experience supporting U.S. healthcare

Tools

EMR/EHR systems

Payer Portals

Excel

Medicaid claims portal

QuickBooks / accounting systems

Job description

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.