Billing Specialist - EG006 at Pearl

Cape Town, Western Cape, South Africa -

Full Time

Start Date

Immediate

Expiry Date

22 Mar, 26

Salary

0.0

Posted On

22 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing Operations, Claims Processing, Denial Management, Insurance Verification, Payment Posting, Accounts Receivable, Communication Skills, Attention to Detail, Healthcare Billing, EHR Systems, CPT, ICD-10, Medical Billing Terminology, Spanish Proficiency, Project Management Tools

Industry

Staffing and Recruiting

Description

Department: Finance and Accounting 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 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? 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. Role Overview The Billing Specialist manages accurate and timely billing operations while supporting end-to-end revenue cycle activities. This role focuses on claims submission, payment posting, denial resolution, insurance verification, and account follow-ups to ensure billing accuracy and compliance. You will serve as a key billing point of contact, working closely with internal teams and external stakeholders to resolve billing issues and maintain clean accounts. This role is ideal for detail-oriented professionals who thrive in structured environments and take ownership of billing accuracy. Your Impact Your work directly supports revenue integrity by reducing claim errors, accelerating collections, and minimizing payment delays. Through accurate billing and proactive follow-ups, you help organizations maintain compliance, improve cash flow, and operate efficiently. Your consistency and attention to detail protect the business from financial and regulatory risk. Core ResponsibilitiesClaims Processing & Billing Operations — 35% Prepare, review, and submit billing claims accurately and on time Ensure proper coding and documentation before submission Monitor claim status and follow up on unpaid or pending claims Maintain detailed billing records and claim documentation Denial Management & Resolution — 25% Investigate denied or rejected claims and identify root causes Prepare corrected claims and appeal documentation Coordinate with payers and internal teams to resolve issues Track denial trends and support process improvements Insurance Verification & Authorization — 15% Verify insurance coverage, eligibility, and benefits Obtain and track required authorizations Maintain accurate authorization documentation Resolve benefit and coverage discrepancies Payment Posting & Accounts Receivable — 10% Post insurance and patient payments accurately Reconcile remittance advice and explanations of benefits Monitor aging reports and prioritize follow-ups Escalate discrepancies or unresolved balances Billing Communication & Support — 10% Respond to billing inquiries via email, phone, or portals Provide clear updates on claim status and balances Communicate professionally with internal and external stakeholders Handle sensitive billing matters with discretion Compliance & Documentation — 5% Maintain compliance with privacy and billing regulations Keep organized, audit-ready billing records Follow established billing policies and procedures Must-Haves (Required) 1–2+ years of experience in healthcare billing or revenue cycle roles Strong understanding of insurance billing processes and claim workflows Working knowledge of CPT, ICD-10, and medical billing terminology Experience resolving denied or rejected claims Strong written and verbal English communication skills High attention to detail and accuracy Ability to manage high volumes of billing work independently Comfort working remotely with minimal supervision Nice-to-Haves (Preferred) Experience in therapy, behavioral health, or multi-specialty billing Billing or revenue cycle certifications Exposure to authorization management or payer contracting Spanish/English bilingual proficiency Experience supporting audits or compliance reviews Tools ProficiencyMust-Haves (Required) Healthcare billing or EHR systems (any industry-standard platform) Payer portals for claims submission and verification Google Sheets or Microsoft Excel Communication tools: Email, Slack, Zoom, Microsoft Teams Nice-to-Haves (Preferred) Practice management systems (e.g., Kareo, AdvancedMD, athenahealth) Clearinghouses (Office Ally, Availity, Waystar, Change Healthcare) Accounting or RCM platforms Project or task management tools (Notion, Asana, Trello) Competitive Salary: Based on experience and skills Remote Work: Fully remote — work from anywhere Generous PTO: In accordance with company policy Direct Mentorship: Access to global industry leaders Learning & Development: Continuous growth resources Global Networking: Work with international teams Health Coverage (Philippines only): HMO after 3 months (full-time) Our Recruitment Process Application Skills Assessment Initial Screening Top-grading Interview Client Matching Job Offer Onboarding Ready to Join Pearl Talent? Build a long-term remote career supporting revenue accuracy and operational excellence. Join Pearl Talent and grow through ownership, consistency, and trust in your billing expertise.

Responsibilities

The Billing Specialist manages accurate and timely billing operations while supporting end-to-end revenue cycle activities. This includes claims submission, payment posting, denial resolution, and insurance verification to ensure billing accuracy and compliance.