Medical Billing Specialist

Core-VA Solutions

Remote Medical Billing Specialist managing Medicaid claims, denials, reconciliation, and compliance. Supporting U.S.

Posted 8/22/2026full-timeRemote • 🇵🇭 PhilippinesMid-LevelSenior💰 $7 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Revenue Cycle Management (RCM) with a focus on Medicaid billing processes, compliance with state requirements, and effective communication with U.S. healthcare clients. Proficient in tracking and reconciling billing data while maintaining HIPAA confidentiality standards.

Highest-signal resume keywords

Revenue Cycle Management (RCM)Medicaid BillingClaims ProcessingBilling ComplianceExcel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medicaid Claims ProcessingDenials ManagementBilling ReconciliationService Documentation ValidationClaim SubmissionAuthorization ManagementFinancial ReportingBilling Tracker MaintenanceDiscrepancy IdentificationPayment Reconciliation

Soft Skills

Strong Communication SkillsIndependent Work

Tools & Technologies

Medicaid Claims PortalEMR/EHR SystemsPayer PortalsQuickBooks

Industry Keywords

HIPAA ComplianceHealthcare ConfidentialityU.S. Healthcare ClientsBilling Standards

About the role

Key responsibilities & impact

Process 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 with clients by email and phone regarding billing matters
Maintain compliance with applicable state billing requirements, documentation standards, and HIPAA confidentiality requirements

Requirements

What you’ll need

Proven experience in full Revenue Cycle Management (RCM)
Proven experience in 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
Comfortable working independently in a remote environment
Experience using EMR/EHR systems and Payer Portals is nice to have
Experience with QuickBooks, invoicing, or accounting systems is a plus

Benefits

Comp & perks

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
100% Remote
Work From Home