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Billing Specialist - Remote (Healthcare Claims & Revenue Cycle Management) at Core-VA Solutions. Core-VA Solutions provides virtual administrative and billing support to healthcare providers across the United States. We are seeking a . Billing Specialist. with hands-on experience managing the full . Revenue Cycle Management (RCM). process—from service documentation and claims submission to denial resolution and payment posting—while ensuring compliance with payer and state-specific requirements.. Position Overview:. The Billing Specialist will oversee the complete . RCM workflow. , including eligibility verification, charge capture, claims submission, payment tracking, denial management, and financial reporting. This role requires direct experience working with U.S. healthcare clients and strong familiarity with . ICD. and . HCPCS. coding for compliant billing.. Key Responsibilities:. . . Review and validate service documentation. to ensure completeness and billing compliance. . . . Verify insurance coverage and authorization requirements. based on payer-specific and state regulations. . . . Accurately code services. using ICD, CPT, and HCPCS codes to reflect provided care. . . . Submit claims. through billing platforms or payer portals promptly and accurately. . . . Monitor claim status and conduct follow-ups. to ensure timely and full reimbursement. . . . Post payments and reconcile transactions. against billed amounts by service code, payer, and individual. . . . Review and interpret EOBs. , address denials, and prepare appeals or resubmissions as necessary. . . . Ensure compliance with U.S. payer policies. , industry standards, and applicable state billing requirements. . . . Generate financial and billing reports. to support internal audits, reconciliation, and revenue tracking. . . . Collaborate with internal teams. to resolve discrepancies in documentation or billing and maintain clean claims.. . Qualifications:. . . At least 2 years of hands-on experience in healthcare billing and full revenue cycle management. , including claim submission, follow-up, denial resolution, and payment posting. . . . Direct experience supporting U.S. healthcare clients or billing departments. , with a strong grasp of payer-specific rules and compliance requirements. . . . Proficient in ICD and HCPCS coding. , EOB analysis, and claims follow-through until reimbursement is posted. . . . Experienced in payment posting, financial reconciliation, and generating billing reports. for internal or client use. . . . Skilled in using billing platforms. such as Tebra, Epic, AdvancedMD, or Kareo; . financial tools like QuickBooks. ; . Microsoft Excel. ; and . EHR systems. like Practice Fusion, Athenahealth, or DrChrono. . . . Highly organized, detail-oriented. , and capable of managing tasks independently in a remote work environment.. . Preferred Experience:. . Experience billing for outpatient, long-term care, or behavioral health services. . . Familiarity with electronic health records (EHR) and remote coordination tools. . . Working knowledge of HIPAA and healthcare data security best practices.. . Company Location: Philippines.