Medical Billing Specialist - Remote

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.

• →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.

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

• 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

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.