Medical Billing Specialist

Summary

Join Pearl Talent as a Billing Specialist and contribute to the seamless operations of a leading US-based healthcare services organization. This full-time, remote independent contractor role focuses on accurate and timely billing processes, client satisfaction, and revenue cycle optimization. You will manage billing, resolve claims, conduct audits, and streamline workflows. The position requires 1-3 years of healthcare billing experience, strong understanding of insurance billing processes, and familiarity with billing software. Benefits include a competitive salary, generous PTO, holiday adherence, direct mentorship, learning and development opportunities, and a flexible work-life balance.

Requirements

• 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

Responsibilities

• 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
• Identify opportunities to streamline billing and collections workflows
• Generate reports on billing activities, collections, and outstanding accounts
• Verify patient insurance benefits and eligibility before service delivery
• Obtain pre-authorizations for services as required
• Act as the primary contact for billing inquiries from clients and patients
• Communicate with clients regarding outstanding balances and payment plans
• Ensure compliance with HIPAA and other regulatory requirements
• Maintain accurate, well-organized billing records in line with company standards

Preferred Qualifications

• 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)

Benefits

• 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