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Medical Billing Specialist - Remote

Core-VA Solutions

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.
Vacancy posted 3 days ago
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