Billing Specialist

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

Pearl 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: WATCH HERE

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.

The 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 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.

• 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

• Experience in therapy, behavioral…