Medical Billing Specialist - Remote

🏢 Core-VA Solutions · all 5 jobs
📍 Philippines
💰 USD 7 / hourly
📅 Posted Sep 21, 2026 · via Himalayas
🏷 Medical Billing, Healthcare Billing, Claims Administration, Revenue Cycle Management, Healthcare Administration, Hospital And Health Care +7 more
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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

Flights + hotels

This role requires you to be in the Philippines. If that means relocating or flying in, it is worth checking fares before you commit to a start date.

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