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Se connecterRésumé du poste
- Lieu
- Remote — Philippines
- Mode de travail
- Télétravail
- Type de contrat
- Temps plein
- Salaire
- 7,00 $US de l'heure
- Date de publication
- 7 oct. 2026
- Dernière vérification à la source
- 7 oct. 2026
- Source de l'offre
- via Himalayas
Missions
• 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.
Profil recherché
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
Avantages
$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
Ready to Make an Impact?
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.
Apply today and join Core-VA Solutions in supporting the people and organizations behind better healthcare.
Compétences
- Excel
- Accounting
- Auditing
- Human Resources
- Operations
- Healthcare
- Communication
Visa et relocalisation
?L'annonce ne parle pas de visa. Vérifiez l'annonce d'origine ou demandez à l'entreprise.
?L'annonce ne mentionne pas de relocalisation.
Description du poste
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
Ready to Make an Impact?
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.
Apply today and join Core-VA Solutions in supporting the people and organizations behind better healthcare.
Originally posted on Himalayas
Medical-Billing, Healthcare-Billing, Claims-Administration, Revenue-Cycle-Management, Healthcare-Administration, Hospital-And-Health-Care, Accounting-Auditing, Medicaid-Billing, Remote-Medical-Billing-Specialist, Remote-Medical-Biller, Medical-Billing-Specialist, Remote-Medical-Billing, Medical-Billing-And-Coding-Specialist
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