Billing Specialist - Remote (Healthcare Claims & Revenue Cycle Management)

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.

Requirements

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.

Benefits

What we Offer:

• Starting rate: $7/hour (based on experience and qualifications)
• 100% remote / work-from-home setup
• Paid training and support system to help you gain confidence before working independently
• A collaborative, respectful work environment — we value trust, autonomy, and open communication over micromanagement
• Long-term opportunity