Offer summary

Qualifications:

3+ years of experience in medical billing and insurance claims processing., Strong understanding of CPT codes, ICD-10 coding, and medical terminology., Proficiency in medical billing software and EMRs., Exceptional attention to detail and strong communication skills..

Key responsabilities:

Oversee the medical billing and collections process, ensuring timely claim submissions.

Verify insurance eligibility and follow up on denied claims.

Generate patient invoices and handle inquiries regarding billing.

Maintain patient billing records and generate financial reports on outstanding payments.

Job description

Role: Billing and Admin Specialist

Work Arrangement: Fully remote, overlapping EST working hours

Job Type: Independent Contractor, Full-time

Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM EST (flexible based on client needs)

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.

Why Work with Us?

We mean what we say that we’re building a different recruiting company here. We only work with exceptional founders from the US and EU who care about the long-term success of their team members. We also provide you with attainable 3, 6, 9, 12 month, and beyond retention bonuses in addition to community oriented opportunities like an annual retreat.

About the Company:

Specializing in diagnosing and treating ADHD in children and adolescents, this practice is dedicated to providing compassionate, evidence-based care that empowers families and enhances patient outcomes. With a patient-first approach, the team ensures that every family receives the necessary guidance and support. The environment is fast-paced, collaborative, and deeply mission-driven, with each role playing a direct part in improving children's lives.

Role Overview:

The Billing Specialist will oversee the entire medical billing and collections process, ensuring timely and accurate claim submissions, insurance verifications, and payment postings.

Day-to-Day Responsibilities:

Insurance Billing & Claims Management:

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.

Patient Billing & Payment Processing:

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.

Revenue Cycle & Reporting:

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.

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.