Insurance Billing Specialist

Summary

Join Pearl Talent and work as a fully remote Insurance Billing Specialist for a leading fertility solutions company. This full-time position, open to candidates in the Philippines, requires a minimum of 3 years of billing experience, preferably in healthcare or ABA therapy. You will manage the revenue cycle, including insurance verification, prior authorizations, credentialing, and billing. Strong communication, problem-solving, and organizational skills are essential. The company offers a competitive compensation package including generous PTO, HMO coverage, direct mentorship, and professional development opportunities.

Requirements

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

Responsibilities

• Prepare, submit, and audit insurance claims to ensure accuracy and compliance
• Investigate and appeal denied claims, troubleshoot payment delays, and resolve billing issues
• Manage patient accounts, post payments, and assist with payment plans while generating reports on billing activity and collections
• Verify insurance benefits, secure pre-authorizations, and manage reimbursement requirements
• Handle provider contracting and credentialing, including managing applications, payor updates, and rate negotiations
• Collaborate with providers to gather documentation and resolve authorization or credentialing issues
• Ensure HIPAA compliance and maintain organized, accurate billing records
• Serve as the primary contact for client inquiries, provide updates, and address account receivable concerns through proactive communication
• Stay updated on industry trends and identify opportunities to improve processes and workflows

Benefits

• Fully remote—work from anywhere
• Monday to Friday, 9:00am - 5:30pm CST with a 30-minute lunch break
• Ample paid time off to rest and recharge
• HMO coverage after 3 months for full-time employees
• Grow through guidance from international industry experts
• Ongoing access to resources for professional growth
• Work and connect with professionals around the world
• Flexible hours that support a healthy work-life balance