Billing Specialist - Medicaid (Remote)

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

Requirements

• 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

Benefits

• Work From Home
• $7/hour
• Paid Time Off
• Holiday Pay
• Strong Support System
• Long-Term/Permanent Work Opportunity