Billing Specialist - REMOTE - SR006

São Paulo - SP
Contrato
Período integral

Há 3 dias
Aplicar facilmente

Department: Finance and AccountingWork Arrangement: RemoteJob Type: Independent Contractor, Full TimeWork 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 skillsAbout 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.Hear why we exist, what we believe in, and who we're building for: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 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

Denial Management & Resolution — 25%

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

Insurance Verification & Authorization — 15%

Verify insurance coverage, eligibility, and benefits
Obtain and track required authorizations
Maintain accurate authorization documentation
Resolve benefit and coverage discrepancies

Payment Posting & Accounts Receivable — 10%

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

Billing Communication & Support — 10%

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

Compliance & Documentation — 5%

Maintain compliance with privacy and billing regulations
Keep organized, audit-ready billing records
Follow established billing policies and procedures

RequirementsMust-Haves (Required)

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-Haves (Preferred)

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

Tools ProficiencyMust-Haves (Required)

Healthcare billing or EHR systems (any industry-standard platform)
Payer portals for claims submission and verification
Google Sheets or Microsoft Excel
Communication tools: Email, Slack, Zoom, Microsoft Teams

Nice-to-Haves (Preferred)

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

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)

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.

Pearl Talent