Bilingual Billing Specialist; Spanish​/English - EG

Pearl Cape Town, Western Cape, South Africa
1 week ago
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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

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 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 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.

• Bilingual Claims & Billing Processing — 30%:
  • Prepare, review, and submit billing claims accurately and on time
  • Ensure proper coding and documentation across billing records
  • Process billing information involving Spanish- and English-language documentation
  • Monitor claim status and follow up with payers or stakeholders as needed
  • Translate billing-related documents between Spanish and English when required
• Bilingual Account Resolution & Communication — 25%:
  • Investigate and resolve billing discrepancies or denied claims
  • Communicate billing outcomes and next steps in Spanish or English
  • Prepare appeal documentation and supporting records
  • Explain billing concepts clearly across both languages
  • Coordinate with internal teams to resolve complex billing issues
• Bilingual Account Management — 20%:
  • Serve as primary bilingual contact for billing inquiries
  • Explain billing statements, balances, and payment options
  • Establish and manage payment arrangements when applicable
  • Handle sensitive billing conversations with professionalism and cultural awareness
  • Maintain accurate documentation of bilingual communications
• Insurance Verification & Authorization Support — 15%:
  • Verify benefits and eligibility and communicate coverage details bilingually
  • Obtain and track authorizations as required
  • Translate authorization-related documentation
  • Maintain accurate authorization records
• Payment Posting & Reconciliation — 5%:
  • Post payments accurately and reconcile billing records
  • Review explanations of benefits and resolve discrepancies
  • Communicate payment updates or issues bilingually
• Compliance & Documentation — 5%:
  • Ensure all billing activities comply with privacy and regulatory requirements
  • Maintain organized and accurate billing documentation
  • Support creation and maintenance of bilingual billing templates

• Must-Haves (Required):
  • Fluent written and verbal Spanish and English communication
  • 1–2+ years of experience in billing, collections,…