[Hiring] Medical Billing Specialist @Core-VA Solutions

Role Description

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.

• 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.

Qualifications

• Detail-oriented, organized, and proactive Medical Billing Specialist
• Experience in using EMR/EHR systems and Payer Portals (nice to have)
• 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