Medical Billing Specialist - Remote

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,