Billing Specialist - Medicaid (Remote) at Core-VA Solutions. We are hiring an experienced Billing Specialist with a strong background in Medicaid billing.. This role requires more than basic claim submission. We are looking for someone who understands documentation review, eligibility validation, compliance standards, financial reporting, and pre-billing accuracy checks.. Key Responsibilities:. • 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. 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 (tracking, reconciliation, reporting). Proficient in professional email communication and phone systems. Experience with accounting systems such as QuickBooks is a plus. Detail-oriented, organized, and comfortable handling audits and claim corrections. Experience working remotely with U.S. healthcare clients preferred. Company Location: Philippines.
Billing Specialist - Medicaid (Remote) at Core-VA Solutions