Remote Medical Billing Specialist
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Job Description
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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
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Core VA Solutions
View Company ProfileCore-VA Solutions is a premier, specialized offshore healthcare staffing and virtual medical assistant platform engineered to operate as a mission-critical operational infrastructure layer for US healthcare providers, clinics, and long-term care facilities. The company eliminates the severe administrative friction and mounting overhead strains facing modern medical operations—which frequently suffer from nursing shortages, complex insurance billing delays, rigorous HIPAA/Medicaid compliance demands, and heavy healthcare worker burnout—by seamlessly deploying expertly trained, offshore virtual specialists and US registered nurses (USRNs). Moving far beyond generalist virtual assistant agencies or rigid traditional staffing paradigms, Core-VA Solutions empowers clinical directors, hospital administrators, and medical practices to dynamically delegate their care administration, medical billing, case management, live scribing, and human resources workflows with elite, compliance-hardened precision. Under the hood, their sophisticated vetting and operational engine—bolstered by strict data privacy guardrails, remote patient monitoring systems, and extensive training pipelines across top EHR/EMR platforms like Epic and Cerner—natively manages high-accuracy billing code distributions, multi-region credentialing, and bilingual Spanish/English healthcare communication. What sets Core-VA Solutions apart is its uncompromising dedication to ethical cross-border talent orchestration; by bridging the gap between cost-intensive US healthcare administrative constraints and highly skilled offshore medical professionals, the firm enables modern clinical organizations to radically accelerate patient care velocity, minimize operational bottlenecks, and build an unassailable foundation for continuous commercial stability and patient-centered excellence.
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