Billing Specialist (Remote) - Multiple Openings

• 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
• Experience preparing financial or billing reports for US clients
• Proficient in Excel (tracking, reconciliation, reporting)

• Ensure all claims meet state billing requirements and documentation standards
• Assist with form submissions related to service authorizations or renewals to ensure continuity of care
• Validate billing compliance and documentation standards at every stage

• Communicate with clients via email and phone regarding billing matters
• Provide general administrative support related to billing operations

• Own the full billing cycle from claim submission to reconciliation
• Identify and resolve claim denials and resubmissions independently
• Maintain accurate records and trackers with minimal supervision
• Flag billing discrepancies and compliance gaps proactively

• 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
• 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 US healthcare clients preferred

• Communicate with Spanish-speaking clients and staff via email and phone regarding billing matters
• Translate or relay billing information accurately between English and Spanish
• Support Spanish-speaking clients through the billing and authorization process
• Document all client communications in English for internal records

• All requirements from Role 1 apply
• Conversational in both English and Spanish — spoken and written
• Prior experience in a bilingual client-facing role preferred
• Able to onboard immediately or within 1 week of offer

• Bachelor's degree in Business Administration, Finance, Healthcare Management, or a related field preferred (not required)

• At least 2–4 years of experience in Medicaid billing or a similar remote billing role
• Hands-on experience submitting and managing claims through a state billing portal
• Solid understanding of billing compliance, documentation validation, and claim corrections
• Experience with service authorization forms and continuity of care documentation
• Strong attention to detail — especially when matching service logs against claim data
• Ability to manage billing workload independently without close supervision
• Good written and verbal English communication skills
• Professional handling of confidential client and financial information

• Proficient in Google Workspace and/or Microsoft 365
• Proficient in Excel for tracking, reconciliation, and reporting
• Experience with QuickBooks or similar accounting software is a plus
• Comfortable with video communication tools (Zoom, Google Meet, or similar)

• Available during US business hours
• Able to start asap

• Starting rate: $7/hour (based on experience and qualifications)
• 100% remote / work-from-home setup
• Paid time off (PTO)
• US public holidays observed
• Training and support system to help you build confidence and work independently
• A collaborative, respectful work environment — we value trust, autonomy, and open communication
• Long-term opportunity with a stable and growing agency

Core-VA Solutions