Billing Specialist

2 days ago

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Catena

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Catena, now known as Pearl Talent, is a company that specializes in helping organizations hire top remote talent from overseas, primarily focusing on candidates from the Philippines and Latin America. They offer a rigorous vetting process to ensure they provide highly capable candidates equipped with modern software skills and fluent English proficiency. Pearl Talent provides two main hiring services: Managed Services, which handles compliance, payroll, and training, and Direct Placement for companies that manage hires internally. They focus on long-term retention and quality in their hiring processes, aiming to build high-performing remote teams for a range of industries including healthcare, real estate, and finance.

2 - 10 employees

👥 HR Tech

🏢 Enterprise

🎯 Recruitment

📋 Description

• Role: Billing Specialist • Work Arrangement: Fully remote, overlapping EST working hours • Job Type: Independent Contractor, Full-time • Work Schedule: Monday to Friday, 9:00 AM to 6:00 PM EST, with flexibility for urgent billing-related tasks. • Locations: Remote, open to candidates in the Philippines • 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. • Why Work with Us? We mean what we say that we’re building a different recruiting company here. We only work with exceptional founders from the US and EU who care about the long-term success of their team members. We also provide you with attainable 3, 6, 9, 12 month, and beyond retention bonuses in addition to community oriented opportunities like an annual retreat. • About the Company: They are a trusted provider of comprehensive business and back-office services designed to support the unique needs of Applied Behavior Analysis (ABA) practices. From billing and collections to payroll and compliance, they streamline operations so ABA providers can focus on delivering life-changing therapies. With a commitment to excellence and client satisfaction, they ensure seamless efficiency and reliability in the ABA community. • Role Overview: The Billing Specialist will play a critical role in ensuring accurate and timely billing processes for our clients' ABA practices. This role is essential in maintaining client satisfaction, compliance with payer regulations, and ensuring revenue is collected efficiently. • Core Responsibilities: Billing Management: Process and submit claims to insurance companies accurately and timely. Monitor, track, and resolve denied or unpaid claims by coordinating with payers. Conduct regular audits of billing records to ensure accuracy and compliance. Revenue Cycle Optimization: Identify and implement improvements to streamline billing and collections workflows. Generate reports on billing activity, collections, and outstanding accounts. Insurance Verification & Pre-Authorization: Verify patient insurance benefits and eligibility before service delivery. Obtain pre-authorizations as required for services rendered. Client Communication: Serve 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 and well-organized billing records in line with company standards.

🎯 Requirements

• Minimum of 3+ years of billing experience, preferably in healthcare or ABA therapy. • Strong understanding of insurance billing processes, including CPT codes and payer-specific requirements. • Familiarity with billing software and tools like CentralReach or similar platforms. • Excellent communication and problem-solving skills. • Detail-oriented with the ability to work independently and meet tight deadlines.

🏖️ Benefits

• Remote Work: Fully remote—work from anywhere • Generous PTO: 10 days PTO per year, plus public holidays and sick leave • Direct Mentorship: Grow through guidance from international industry experts • Learning & Development: Ongoing access to resources for professional growth • Global Networking: Work and connect with professionals around the world • Work-Life Balance: Balanced schedules that support a healthy work-life balance.