Insurance Billing Specialist

November 29

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Description

• Work Arrangement: Fully remote, overlapping CST working hours • Job Type: Full-time • Work Schedule: 40 hours per week, Monday to Friday, 9:00AM - 5:00PM CST • Locations: Remote, open only to candidates based 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. • Role Overview: The Insurance Billing Specialist will ensure efficient revenue cycle processes, including insurance verification, prior authorizations, credentialing, billing, and communication with clients and payers. • Key Responsibilities: Prepare, submit, and audit insurance claims; investigate and appeal denied claims; manage patient accounts; verify insurance benefits; ensure HIPAA compliance; serve as the primary contact for client inquiries.

Requirements

• Experience & Expertise: Minimum of 3yrs in billing, preferably in healthcare or ABA therapy, with proven experience in revenue cycle management, insurance credentialing, and billing processes. • Technical Skills: Proficient in payer portals, electronic health records, and billing software like CentralReach; knowledgeable about CPT codes and payer-specific requirements. • Key Competencies: Excellent written and verbal communication, problem-solving, and organizational skills; ability to multitask, manage time effectively, and maintain data integrity. • Teamwork & Independence: Works well with teams, demonstrates strong interpersonal skills for client and provider collaboration, and can work independently to meet deadlines.

Benefits

• Remote Work: Fully remote—work from anywhere • Work Schedule: Monday to Friday, 9:00am - 5:30pm CST with a 30-minute lunch break • 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 and connect with professionals around the world • Work-Life Balance: Flexible hours that support a healthy work-life balance

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