Core-VA Solutions is hiring an experienced Billing Specialist - Medicaid for a fully remote position. This role goes beyond basic claim submission, requiring deep knowledge of documentation review, eligibility validation, and compliance standards.
What You'll Do
- 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
- Provide general administrative support related to billing operations
- Communicate with clients via email and phone as needed regarding billing matters
- Ensure all claims meet state billing requirements and documentation standards
What We're Looking For
- Proven experience in Medicaid billing
- Hands-on experience using a Medicaid claim portal
- Strong understanding of billing compliance and documentation validation
- Experience reviewing service logs against submitted claims
- Experience with form submissions related to service authorizations or renewals to ensure continuity of care
- Experience preparing financial or billing reports for U.S. clients
- Proficient in Excel for tracking, reconciliation, and reporting
- Proficient in professional email communication and phone systems
- Detail-oriented, organized, and comfortable handling audits and claim corrections
Nice to Have
- Experience with accounting systems such as QuickBooks is a plus
- Experience working remotely with U.S. healthcare clients preferred
Technical Stack
- Excel
- QuickBooks
Benefits & Compensation
- Work From Home
- Paid Time Off
- Holiday Pay
- Strong Support System
- Long-Term/Permanent Work Opportunity
- Compensation: $7/hour
Work Mode
This is a remote, global position.
