About this role
Department: Admin and Executive Assistance
Work Arrangement: Remote
Job Type: Independent Contractor, Full Time
Work Schedule: US Time Zone (candidate expected to be flexible with the client's preference)
Locations: Philippines, LATAM, South Africa, Kenya, and other remote regions with excellent English communication skills
About Pearl TalentPearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU. Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund. They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years. Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.
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Why Work with Us?At Pearl, we're not just another recruiting firm—we connect you with exceptional opportunities to work alongside visionary US and EU founders. Our focus is on placing you in roles where you can grow, be challenged, and build long-term, meaningful careers.
Role OverviewThe Bilingual Billing Specialist (Spanish/English) manages accurate and timely billing operations while providing bilingual support to Spanish- and English-speaking stakeholders. This role ensures billing accuracy, compliance, and clear communication across language barriers.
You will handle claims processing, billing inquiries, account follow-ups, and documentation while serving as a key bilingual point of contact. This role is ideal for detail-oriented professionals who combine billing expertise with strong bilingual communication skills.
Your ImpactYour bilingual capability ensures billing clarity, reduces miscommunication, and improves resolution timelines. By delivering accurate billing support in both Spanish and English, you help organizations maintain compliance, improve collections, and enhance overall stakeholder trust. Your work directly supports operational efficiency and positive customer or patient experiences.
Core ResponsibilitiesBilingual Claims & Billing Processing — 30%Prepare, review, and submit billing claims accurately and on timeEnsure proper coding and documentation across billing recordsProcess billing information involving Spanish- and English-language documentationMonitor claim status and follow up with payers or stakeholders as neededTranslate billing-related documents between Spanish and English when requiredBilingual Account Resolution & Communication — 25%Investigate and resolve billing discrepancies or denied claimsCommunicate billing outcomes and next steps in Spanish or EnglishPrepare appeal documentation and supporting recordsExplain billing concepts clearly across both languagesCoordinate with internal teams to resolve complex billing issuesBilingual Account Management — 20%Serve as primary bilingual contact for billing inquiriesExplain billing statements, balances, and payment optionsEstablish and manage payment arrangements when applicableHandle sensitive billing conversations with professionalism and cultural awarenessMaintain accurate documentation of bilingual communicationsInsurance Verification & Authorization Support — 15%Verify benefits and eligibility and communicate coverage details bilinguallyObtain and track authorizations as requiredTranslate authorization-related documentationMaintain accurate authorization recordsPayment Posting & Reconciliation — 5%Post payments accurately and reconcile billing recordsReview explanations of benefits and resolve discrepanciesCommunicate payment updates or issues bilinguallyCompliance & Documentation — 5%Ensure all billing activities comply with privacy and regulatory requirementsMaintain organized and accurate billing documentationSupport creation and maintenance of bilingual billing templatesRequirements
Must-Haves (Required)Fluent written and verbal Spanish and English communication1–2+ years of experience in billing, collections, or revenue cycle rolesStrong attention to detail and billing accuracyExperience handling billing documentation and account follow-upsAbility to translate billing-related information between Spanish and EnglishStrong organizational and time-management skillsProfessional handling of confidential financial informationAbility to work independently in a remote environmentNice-to-Haves (Preferred)Experience in regulated industries (e.g., healthcare, insurance, finance)Familiarity with medical or insurance billing terminologyBilling or revenue cycle certificationsExperience working with Spanish-speaking customer or patient populationsExposure to multi-location or high-volume billing environments Tools ProficiencyMust-Haves (Required)Billing or accounting systems (any industry-standard platform)Spreadsheets: Google Sheets or Microsoft ExcelCommunication tools: Email, phone systems, Slack, Zoom, Microsoft TeamsNice-to-Haves (Preferred)Practice management or billing platformsAccounting software (QuickBooks or similar)Google Workspace or Microsoft Office SuitePatient or customer portals and messaging systemsTranslation or documentation toolsBenefits
Competitive Salary: Based on experience and skillsRemote Work: Fully remote — work from anywhereGenerous PTO: In accordance with company policyDirect Mentorship: Access to global industry leadersLearning & Development: Continuous growth resourcesGlobal Networking: Work with international teamsHealth Coverage (Philippines only): HMO after 3 months (full-time)
Our Recruitment Process Application Skills Assessment Initial Screening Top-grading Interview Client Matching Job Offer Onboarding
Ready to Join Pearl Talent?If you're a driven professional ready to work with exceptional founders building the next generation of world-class companies, we'd love to meet you. Apply now to unlock opportunities where your growth, impact, and success are our top priorities.