Pearl Talent is hiring a remote Billing Specialist to manage accurate and timely billing operations and support end-to-end revenue cycle activities. This role focuses on claims submission, payment posting, denial resolution, and insurance verification to ensure billing accuracy and compliance.
What You'll Do
- Prepare, review, and submit billing claims accurately and on time.
- Ensure proper coding and documentation before submission.
- Monitor claim status and follow up on unpaid or pending claims.
- Maintain detailed billing records and claim documentation.
- Investigate denied or rejected claims and identify root causes.
- Prepare corrected claims and appeal documentation.
- Coordinate with payers and internal teams to resolve issues.
- Track denial trends and support process improvements.
- Verify insurance coverage, eligibility, and benefits.
- Obtain and track required authorizations.
- Maintain accurate authorization documentation.
- Resolve benefit and coverage discrepancies.
- Post insurance and patient payments accurately.
- Reconcile remittance advice and explanations of benefits.
- Monitor aging reports and prioritize follow-ups.
- Escalate discrepancies or unresolved balances.
- Respond to billing inquiries via email, phone, or portals.
- Provide clear updates on claim status and balances.
- Communicate professionally with internal and external stakeholders.
- Handle sensitive billing matters with discretion.
- Maintain compliance with privacy and billing regulations.
- Keep organized, audit-ready billing records.
- Follow established billing policies and procedures.
What We're Looking For
- 1–2+ years of experience in healthcare billing or revenue cycle roles.
- Strong understanding of insurance billing processes and claim workflows.
- Working knowledge of CPT, ICD-10, and medical billing terminology.
- Experience resolving denied or rejected claims.
- Strong written and verbal English communication skills.
- High attention to detail and accuracy.
- Ability to manage high volumes of billing work independently.
- Comfort working remotely with minimal supervision.
Nice to Have
- Experience in therapy, behavioral health, or multi-specialty billing.
- Billing or revenue cycle certifications.
- Exposure to authorization management or payer contracting.
- Spanish/English bilingual proficiency.
- Experience supporting audits or compliance reviews.
Technical Stack
- Healthcare billing or EHR systems (any industry-standard platform).
- Payer portals for claims submission and verification.
- Google Sheets or Microsoft Excel.
- Email, Slack, Zoom, Microsoft Teams.
- Practice management systems (e.g., Kareo, AdvancedMD, athenahealth).
- Clearinghouses (Office Ally, Availity, Waystar, Change Healthcare).
- Accounting or RCM platforms.
- Project or task management tools (Notion, Asana, Trello).
Benefits & Compensation
- Competitive Salary: Based on experience and skills.
- Remote Work: Fully remote — work from anywhere.
- Generous PTO: In accordance with company policy.
- Direct Mentorship: Access to global industry leaders.
- Learning & Development: Continuous growth resources.
- Global Networking: Work with international teams.
- Health Coverage (Philippines only): HMO after 3 months (full-time).
Work Mode
This is a fully remote, global position open to candidates in the Philippines, LATAM, South Africa, Kenya, and other remote regions with excellent English communication skills.
Pearl Talent is an equal opportunity employer.
