Billing Specialist (US-Based Healthcare Consulting Firm)

Work Arrangement: Remote

Job Type: Independent Contractor (Full-time)

Salary Range: Based on experience, with performance-based incentives

Work Schedule: Monday to Friday, 40 hours per week, 9:00 AM – 6:00 PM EST (flexibility for urgent billing-related tasks; no more than 3 hours earlier or later)

Locations: Remote, open to candidates from the Philippines, Africa, and LATAM

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:

We’re seeking a Billing Specialist to join a leading US-based healthcare services organization that provides comprehensive back-office and operational support to therapy practices across the country. This role is crucial in ensuring accurate and timely billing processes, maintaining client satisfaction, and optimizing revenue cycles. If you’re detail-oriented, proactive, and skilled in navigating payer regulations, this role will place you at the center of a growing, mission-driven organization.

Your Impact:

As a Billing Specialist, you will play a vital role in maintaining seamless operations for our US-based client by ensuring accurate billing, improving revenue collection, and resolving claims efficiently. Your efforts will directly contribute to increased client satisfaction, reduced revenue leakage, and streamlined billing processes across multiple therapy practices.

Core Responsibilities:

Billing Management

• Process and submit claims to insurance companies accurately and on time.
• Monitor and resolve denied or unpaid claims by coordinating with payers.
• Conduct audits of billing records to ensure accuracy and compliance.

Revenue Cycle Optimization

• Identify opportunities to streamline billing and collections workflows.
• Generate reports on billing activities, collections, and outstanding accounts.

Insurance Verification & Pre-Authorization

• Verify patient insurance benefits and eligibility before service delivery.
• Obtain pre-authorizations for services as required.

Client Communication

• Act as the primary contact for billing inquiries from clients and patients.
• Communicate with clients regarding outstanding balances and payment plans.

Compliance & Documentation

• Ensure compliance with HIPAA and other regulatory requirements.
• Maintain accurate, well-organized billing records in line with company standards.

Must-Have:

• 1-3 years of healthcare billing experience
• Strong understanding of insurance billing processes, CPT codes, and payer-specific requirements.
• Familiarity with billing software such as CentralReach or similar platforms (e.g., AlohaABA, Tebra, etc.).
• Excellent communication and problem-solving skills.
• Highly detail-oriented with the ability to meet tight deadlines.
• Comfortable working collaboratively with cross-functional teams.

Nice-to-Have:

• Naturally curious, coachable, and open-minded
• Payer-side billing experience (i.e., insurance company).
• Experience in ABA-specific billing (preferred).
• Strong technical skills and comfort using multiple platforms (e.g., Microsoft Suite, Outlook, Excel, QuickBooks, Google Sheets).

• Competitive Salary: Based on experience and skills
• Remote Work: Fully remote—work from anywhere
• Generous PTO: 14 days per year (2 weeks notice required for vacation leaves)
• Holiday Adherence: 7 US Federal Holidays + 1 Floating Holiday
• Direct Mentorship: Work with experienced professionals in the ABA and billing sectors
• Learning & Development: Ongoing access to resources for professional growth
• Work-Life Balance: Flexible hours that support a healthy work-life balance