About this role
Department: Finance and Accounting
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 Billing Specialist manages accurate and timely billing operations while supporting end-to-end revenue cycle activities. This role focuses on claims submission, payment posting, denial resolution, insurance verification, and account follow-ups to ensure billing accuracy and compliance.
You will serve as a key billing point of contact, working closely with internal teams and external stakeholders to resolve billing issues and maintain clean accounts. This role is ideal for detail-oriented professionals who thrive in structured environments and take ownership of billing accuracy.
Your ImpactYour work directly supports revenue integrity by reducing claim errors, accelerating collections, and minimizing payment delays. Through accurate billing and proactive follow-ups, you help organizations maintain compliance, improve cash flow, and operate efficiently. Your consistency and attention to detail protect the business from financial and regulatory risk.
Core ResponsibilitiesClaims Processing & Billing Operations — 35%Prepare, review, and submit billing claims accurately and on timeEnsure proper coding and documentation before submissionMonitor claim status and follow up on unpaid or pending claimsMaintain detailed billing records and claim documentationDenial Management & Resolution — 25%Investigate denied or rejected claims and identify root causesPrepare corrected claims and appeal documentationCoordinate with payers and internal teams to resolve issuesTrack denial trends and support process improvementsInsurance Verification & Authorization — 15%Verify insurance coverage, eligibility, and benefitsObtain and track required authorizationsMaintain accurate authorization documentationResolve benefit and coverage discrepanciesPayment Posting & Accounts Receivable — 10%Post insurance and patient payments accuratelyReconcile remittance advice and explanations of benefitsMonitor aging reports and prioritize follow-upsEscalate discrepancies or unresolved balancesBilling Communication & Support — 10%Respond to billing inquiries via email, phone, or portalsProvide clear updates on claim status and balancesCommunicate professionally with internal and external stakeholdersHandle sensitive billing matters with discretionCompliance & Documentation — 5%Maintain compliance with privacy and billing regulationsKeep organized, audit-ready billing recordsFollow established billing policies and proceduresRequirements
Must-Haves (Required)1–2+ years of experience in healthcare billing or revenue cycle rolesStrong understanding of insurance billing processes and claim workflowsWorking knowledge of CPT, ICD-10, and medical billing terminologyExperience resolving denied or rejected claimsStrong written and verbal English communication skillsHigh attention to detail and accuracyAbility to manage high volumes of billing work independentlyComfort working remotely with minimal supervisionNice-to-Haves (Preferred)Experience in therapy, behavioral health, or multi-specialty billingBilling or revenue cycle certificationsExposure to authorization management or payer contractingSpanish/English bilingual proficiencyExperience supporting audits or compliance reviews Tools ProficiencyMust-Haves (Required)Healthcare billing or EHR systems (any industry-standard platform)Payer portals for claims submission and verificationGoogle Sheets or Microsoft ExcelCommunication tools: Email, Slack, Zoom, Microsoft TeamsNice-to-Haves (Preferred)Practice management systems (e.g., Kareo, AdvancedMD, athenahealth)Clearinghouses (Office Ally, Availity, Waystar, Change Healthcare)Accounting or RCM platformsProject or task management tools (Notion, Asana, Trello)Benefits
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?Build a long-term remote career supporting revenue accuracy and operational excellence. Join Pearl Talent and grow through ownership, consistency, and trust in your billing expertise.