Medical Billing Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇵🇭 Philippines – Remote

💵 $7 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Core-VA Solutions

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Core-VA Solutions is a company specializing in providing virtual healthcare assistants for long-term healthcare facilities, including small medical and therapy offices. Their virtual assistants, who all possess degrees in nursing or health-related fields, offer expertise in patient communication, appointment scheduling, claims processing, and medical billing. Core-VA Solutions aims to alleviate the administrative burden on healthcare facilities, allowing them to focus more on patient care. By handling tasks such as insurance benefits verification and medical records management, Core-VA Solutions enhances operational efficiency in healthcare settings.

📋 Description

• 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

• 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

• 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