Billing Specialist
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Job Description
Billing Specialist managing accurate and timely billing operations while supporting end-to-end revenue cycle activities at Pearl Talent.
Responsibilities:
- 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
Requirements:
- 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)
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