Pearl
Healthcare / Revenue Cycle Management / Behavioral Health
BillingSpecialist
Neural analysis suggests this role is
optimal for Entry candidates.
“Billing Specialist at Pearl. Skills: Billing, Revenue Cycle Management, Claim Accuracy, EHR Billing Queue Management, Secondary Insurance Billing. Review and resolve coding issues flagged in billing systems prior to claim submission.. Identify and correct missing information, demographic mismatches, and coding inconsistencies.”
What You'll Achieve.
Improving billing efficiency; Reducing preventable claim delays across the revenue cycle; Timely claim submission; Stronger cash flow performance; Improved billing accuracy; Reduce denial risk; Improve operational visibility across teams; Maintaining clean billing queues; Ensuring eligible claims move through the system without unnecessary interruptions; Maintain high billing throughput with minimal preventable holds.
Industry & Context.
Proactively resolve claim issues before submission.; Identify and correct missing information, demographic mismatches, and coding inconsistencies.; Monitor and resolve billing issues held within the EHR system.; Escalate recurring workflow issues impacting claim submission efficiency.
What They're Looking For.
Must Have
Minimum 1 year of experience in medical billing or revenue cycle management., understanding of pre-submission workflows and claim editing processes., Experience working within an EHR platform., Knowledge of CPT, ICD-10, and modifier usage., organizational skills and high attention to detail., Excellent written and verbal English communication skills., Ability to manage multiple priorities in a fast-paced environment., Candid or similar billing platforms, EHR systems, Google Workspace, Microsoft Excel or Google Sheets, Payer portals
Nice to Have
Experience in ABA or behavioral health billing., Familiarity with secondary billing and coordination of benefits processes., Experience working with TRICARE, HMSA, Medicaid, and commercial insurers., Exposure to high-volume healthcare billing operations., Reporting and analytics tools, Workflow management tools, Internal healthcare communication systems
What You'll Do.
Review and resolve coding issues flagged in billing systems prior to claim submission.
Identify and correct missing information
demographic mismatches
and coding inconsistencies.
Ensure claims are submitted accurately and within payer timelines.
and modifier usage to support billing compliance.
Monitor and resolve billing issues held within the EHR system.
Coordinate with clinical and administrative teams to obtain missing documentation.
Maintain clean billing queues by proactively addressing preventable claim holds.
Escalate recurring workflow issues impacting claim submission efficiency.
Process claims requiring secondary insurance billing and coordination of benefits.
Attach primary EOB documentation where required.
Follow up on secondary claims through resolution.
Ensure accurate payer sequencing and claim routing.
Track billing percentage metrics and identify trends impacting claim holds.
Support operational reporting related to pre-submission performance.
Recommend process improvements to reduce preventable delays.
Maintain accurate documentation and billing activity records.
How You'll Work.
Team & Collaboration
Collaborate cross-functionally with clinical and administrative teams.
Communication Scope
Excellent written and verbal English communication skills.
Full Job Description
### Industry Healthcare / Revenue Cycle Management / Behavioral Health ### Work Arrangement Remote ### Job Type Full-Time ### Work Schedule US Business Hours ### Locations Philippines ### **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_](https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd) ### 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. ### About the Company Our client is a growing healthcare services organization focused on optimizing revenue cycle operations within the behavioral health space. The company is committed to building efficient, scalable billing systems that improve claim accuracy, reduce preventable delays, and maximize reimbursement outcomes. They operate in a fast-paced environment where operational excellence, accountability, and proactive communication are highly valued. ### Role Overview The Billing Specialist serves as the first line of defense in the revenue cycle by ensuring claims are clean, accurate, and ready for timely submission. This role is highly execution-focused and requires strong attention to detail across pre-submission workflows, coding accuracy, and billing queue management. The ideal candidate will proactively resolve claim issues before submi
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