Billing And Admin Specialist

Summary

Join Pearl Talent as a fully remote Billing and Admin Specialist, working independently full-time, Monday-Friday, with flexible hours. You will manage the entire medical billing and collections process for a practice specializing in ADHD treatment in children and adolescents. Responsibilities include insurance billing and claims management, patient billing and payment processing, and revenue cycle reporting. This role requires extensive experience in medical billing, strong understanding of medical coding, and proficiency in relevant software. Pearl Talent offers generous PTO, direct mentorship, learning and development opportunities, global networking, and a focus on work-life balance.

Requirements

• 3+ years of experience in medical billing, insurance claims processing, and revenue cycle management
• Strong understanding of CPT codes, ICD-10 coding, EOBs, and medical terminology
• Experience working with Medicaid and private insurance payers
• Proficiency in medical billing software, EMRs, and clearinghouse portals
• Strong problem-solving skills —ability to handle claim rejections and denials independently
• Exceptional attention to detail and compliance with HIPAA and insurance regulations
• Strong communication skills for patient and insurance follow-ups

Responsibilities

• Process and submit claims to insurance providers (private and Medicaid)
• Verify insurance eligibility and coverage before patient appointments
• Follow up on denied or rejected claims, ensuring resubmissions are completed in a timely manner
• Ensure all claims comply with HIPAA, CPT, and ICD-10 coding regulations
• Generate and send out patient invoices/statements
• Handle patient inquiries regarding their bills, co-pays, and insurance coverage
• Process and post payments, setting up payment plans as necessary
• Maintain up-to-date patient billing records in the practice’s EMR and billing system
• Generate financial reports on outstanding payments, insurance reimbursements, and billing trends
• Identify trends in claim denials and recommend process improvements

Preferred Qualifications

• Experience with billing for ADHD and behavioral health services
• Knowledge of pre-authorization processes for mental health treatments
• Background in pediatrics or family medicine billing
• Familiarity with payment reconciliation and financial reporting
• Ability to assist with front desk patient intake when needed

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