Medical Billing Specialist

Work Arrangement: Fully remote

Job Type: Full-Time, Independent Contractor

Salary Range: Competitive salary, dependent on skills and experience

Work Schedule: 9 AM - 5 PM EST

Locations: Fully remote, open to candidates from the Philippines, Latin America, and Africa

About Pearl Talent::

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

Why Work with Us?:

We're not just another recruiting firm—we focus on placing candidates with exceptional US and EU founders who prioritize the long-term success of their team members. We also provide retention bonuses at 3, 6, 9, and 12 months, as well as community-driven benefits like an annual retreat.

Role Overview::

On behalf of our client, we're seeking a detail-oriented Billing Specialist to support insurance claims submission, remit posting, and payer follow-up. You'll work within a custom-built EHR system, so comfort with learning new tools and adapting to non-standard workflows is essential. This role also involves credentialing follow-ups over the phone with payers, ensuring timely provider enrollments and uninterrupted billing operations.

Your Impact::

• Ensure accurate, timely submission of insurance claims across multiple channels.
• Maintain clean billing records through precise remit posting and reconciliation.
• Proactively resolve credentialing and billing issues to minimize disruptions in revenue cycles.
• Improve operational efficiency by streamlining billing processes and reducing claim rejections.

Key Responsibilities:

Claims Submission

• Submit clean, accurate claims using our custom-built EHR
• Handle multiple submission channels: Candid Health, manual payer portals, and paper
• Apply correct CPT/HCPCS codes, modifiers, and payer-specific rules
• Follow up on claim rejections and submission errors through clearinghouses and portals

Remit Posting

• Post ERAs/EOBs and patient payments with precision
• Reconcile payments against billed amounts and escalate discrepancies
• Support reprocessing, appeals, and underpayment workflows

Credentialing Follow-Up

• Call insurance payers to check credentialing status, request updates, and escalate delays
• Log updates and proactively flag any issues that may impact billing timelines

Requirements:

Must-Have::

• 2+ years of healthcare billing experience (ABA, behavioral health, or general medical).
• Strong knowledge of claim submissions via clearinghouses, payer portals, and paper.
• Hands-on experience with non-standard or custom EHRs.
• Confidence communicating with payer representatives over the phone.
• High attention to detail, strong organization, and responsiveness to deadlines.

Nice-to-Have::

• Prior experience with Candid Health.
• Familiarity with Medicaid billing and credentialing timelines.
• Knowledge of denial management, reprocessing, and appeals.
• Background in ABA or behavioral health billing.

Benefits:

• Competitive Salary: based on experience and skills
• Remote Work: Fully remote—work from anywhere
• Generous PTO: Ample paid time off to rest and recharge
• Health Coverage: HMO coverage after 3 months for full-time employees
• Direct Mentorship: Grow through guidance from international industry experts
• Learning & Development: Ongoing access to resources for professional growth
• Global Networking: Work with professionals around the world who are driven to improve access to quality care
• Work-Life Balance: Flexible hours that support a healthy work-life balance