Medical Billing Specialist - Remote
Core-VA Solutions • Central Luzon, Philippines • Manila, Metro Manila, Philippines
Posted: August 21, 2026
Job Description
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.
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
Additional Content
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.
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