Healthcare Billing QA & Documentation Auditor (Medicaid Experience Required)

We are a growing U.S.-based healthcare agency providing services under Medicaid programs. We are looking for a highly detail-oriented Virtual Assistant to review documentation BEFORE billing submission to prevent errors, denials, and compliance issues.

This is NOT a general VA role. This is a compliance-focused position.

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Responsibilities:
• Review service notes before billing submission
• Compare documented units vs units scheduled
• Verify dates, signatures, service codes
• Ensure documentation matches billing system entries
• Check for missing documentation
• Identify errors before submission
• Maintain an error log (staff error tracking)
• Track claims submitted vs payments received
• Flag unpaid or delayed claims
• Maintain a weekly billing QA report

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Requirements:
• Experience with U.S. healthcare billing (Medicaid preferred)
• Strong understanding of documentation compliance
• Advanced Excel or Google Sheets skills
• Extremely detail-oriented
• Comfortable returning work for corrections
• Strong written and speak English

Review documentation to ensure compliance with Texas Medicaid guidelines
• Verify services align with authorization before submission through TMHP
• Cross-check Units of Service (UOS) against documented time
• Confirm required signatures, dates, and service codes are accurate
• Ensure documentation aligns with HHSC service definitions and regulations
• Identify billing discrepancies before claim submission
• Track denied or rejected claims and analyze root causes
• Maintain a billing compliance checklist based on TMHP guidelines
• Monitor updates or changes related to HHSC billing requirements
• Maintain a weekly revenue integrity and QA report

This role is responsible for protecting agency revenue by ensuring all claims meet Texas Medicaid (TMHP) and HHSC documentation standards before submission.


Experience with U.S. Medicaid billing (Texas Medicaid preferred)
• Familiarity with TMHP claim submission standards
• Understanding of Units of Service (UOS) conversion
• Knowledge of HHSC documentation compliance requirements
• Experience auditing claims prior to submission
• Strong attention to detail and ability to interpret policy guidelines

Must overlap at least 2–3 hours with U.S. Central Time

Must Answer In Application:
To confirm you have read this entire post, start your application with the word STRUCTURE.
1. Describe your experience with U.S. healthcare billing.
2. Have you reviewed documentation before billing submission? If so, explain your process.
3. What billing systems or EMR platforms have you used?
4. How do you track recurring billing errors or denials?
5. What does QA (Quality Assurance) mean in healthcare billing?

Additional Screening Questions:
6. Have you worked with Medicaid, Medicare, or private insurance billing? Please specify.
7. Are you familiar with Units of Service (UOS) and time-based billing conversions?
8. How do you ensure compliance before claims are submitted?
9. Describe a time you identified a billing mistake before submission. What did you do?
10. How do you stay organized when handling multiple clients or providers?

Voice Memo / Video Introduction Requirement:

Please submit a 1–3 minute voice memo or short video answering the following:

• Introduce yourself and describe your healthcare billing experience.
• Explain your approach to preventing billing errors.
• Share an example of how you improved a billing or documentation process.
• Why are you interested in this role?
• What makes you detail-oriented and a self-starter?