Offer summary

Qualifications:

Minimum of 3+ years of billing experience, preferably in healthcare or ABA therapy., Strong understanding of insurance billing processes, including CPT codes and payer-specific requirements., Familiarity with billing software and tools like CentralReach or similar platforms., Excellent communication and problem-solving skills. .

Key responsabilities:

Process and submit claims to insurance companies accurately and timely.

Monitor, track, and resolve denied or unpaid claims by coordinating with payers.

Serve as the primary contact for billing inquiries from clients and patients.

Ensure compliance with HIPAA and maintain accurate billing records.

Job description

Role: Billing Specialist

Work Arrangement: Fully remote, overlapping EST working hours

Job Type: Independent Contractor, Full-time

Work Schedule: Monday to Friday, 9:00 AM to 6:00 PM EST, with flexibility for urgent billing-related tasks.

Locations: Remote, open to candidates in the 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.

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:

They are a trusted provider of comprehensive business and back-office services designed to support the unique needs of Applied Behavior Analysis (ABA) practices. From billing and collections to payroll and compliance, they streamline operations so ABA providers can focus on delivering life-changing therapies. With a commitment to excellence and client satisfaction, they ensure seamless efficiency and reliability in the ABA community.

Role Overview:

The Billing Specialist will play a critical role in ensuring accurate and timely billing processes for our clients' ABA practices. This role is essential in maintaining client satisfaction, compliance with payer regulations, and ensuring revenue is collected efficiently.

Core Responsibilities:

Billing Management:

Process and submit claims to insurance companies accurately and timely.
Monitor, track, and resolve denied or unpaid claims by coordinating with payers.
Conduct regular audits of billing records to ensure accuracy and compliance.

Revenue Cycle Optimization:

Identify and implement improvements to streamline billing and collections workflows.
Generate reports on billing activity, collections, and outstanding accounts.

Insurance Verification & Pre-Authorization:

Verify patient insurance benefits and eligibility before service delivery.
Obtain pre-authorizations as required for services rendered.

Client Communication:

Serve as the primary contact for billing inquiries from clients and patients.
Communicate with clients regarding outstanding balances and payment plans.

Compliance & Documentation:

Ensure compliance with HIPAA and other regulatory requirements.
Maintain accurate and well-organized billing records in line with company standards.

Requirements

Minimum of 3+ years of billing experience, preferably in healthcare or ABA therapy.
Strong understanding of insurance billing processes, including CPT codes and payer-specific requirements.
Familiarity with billing software and tools like CentralReach or similar platforms.
Excellent communication and problem-solving skills.
Detail-oriented with the ability to work independently and meet tight deadlines.

Benefits