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Billing Specialist
Core-VA SolutionsBilling Specialist managing Medicaid billing operations for US-based healthcare clients. Responsibilities include claims management, financial reporting, and compliance documentation.
About the role
Key responsibilities & impact- Submit and manage claims through the state claim portal
- Verify eligibility prior to billing
- Review service documentation and authorizations before claim submission
- Review service logs and match them against claim data to ensure accuracy, correct units, proper modifiers, and full compliance
- Validate place of service and billing details against supporting documentation
- Monitor claim status, denials, and resubmissions
- Maintain accurate billing trackers and reconciliation sheets
- Prepare and submit financial and billing reports to clients
- Assist with invoice tracking and payment reconciliation
- Experience preparing financial or billing reports for US clients
- Proficient in Excel (tracking, reconciliation, reporting)
- Ensure all claims meet state billing requirements and documentation standards
- Assist with form submissions related to service authorizations or renewals to ensure continuity of care
- Validate billing compliance and documentation standards at every stage
- Communicate with clients via email and phone regarding billing matters
- Provide general administrative support related to billing operations
Requirements
What you’ll need- Bachelor's degree in Business Administration, Finance, Healthcare Management, or a related field preferred (not required)
- At least 2–4 years of experience in Medicaid billing or a similar remote billing role
- Hands-on experience submitting and managing claims through a state billing portal
- Solid understanding of billing compliance, documentation validation, and claim corrections
- Experience with service authorization forms and continuity of care documentation
- Strong attention to detail — especially when matching service logs against claim data
- Ability to manage billing workload independently without close supervision
- Good written and verbal English communication skills
- Professional handling of confidential client and financial information
- Proficient in Google Workspace and/or Microsoft 365
- Proficient in Excel for tracking, reconciliation, and reporting
- Experience with QuickBooks or similar accounting software is a plus
- Comfortable with video communication tools (Zoom, Google Meet, or similar)
- Available during US business hours
- Able to start asap
Benefits
Comp & perks- 100% remote / work-from-home setup
- Paid time off (PTO)
- US public holidays observed
- Training and support system to help you build confidence and work independently
- A collaborative, respectful work environment — we value trust, autonomy, and open communication
- Long-term opportunity with a stable and growing agency
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicaid billingclaims managementbilling compliancedocumentation validationclaim correctionsservice authorization formsfinancial reportingbilling reconciliationExcelQuickBooks
Soft Skills
attention to detailindependent workload managementwritten communicationverbal communicationprofessionalismconfidentiality