Remote US Healthcare RCM Specialist

Pearl Talent; Manila; Remote; PHP 360,000 - 720,000; Full time

Benefits offered by this job

Fully remote—work from anywhere

Generous PTO

Health coverage for PH-based talents

Mentorship from industry experts

Learning & Development resources

Global networking

Job summary

Pearl Talent is hiring a Revenue Cycle Management Specialist to run end-to-end US healthcare billing from a fully remote setup. You will verify eligibility, submit and follow up on claims, post payments, and manage denials, working with families and payers across the US. Ideal candidates have 2+ years in US RCM and HIPAA‑compliant experience.

Remote work is available from LATAM or the Philippines, with a 9AM–5PM PST schedule. Competitive compensation and mentoring are offered.

Qualifications

• 2+ years of US healthcare revenue cycle experience.
• Experience across eligibility, claims submission, payment posting, follow-up, denials.
• Working knowledge of CPT, ICD-10, and modifiers.

Responsibilities

• Verify eligibility and benefits before visits and submissions.
• Submit claims within payer timelines and monitor acknowledgments.
• Post insurance and patient payments and reconcile deposits.
• Follow up on denied/unclear claims and manage appeals.
• Explain coverage and collect outstanding balances from patients.
• Document activities per SOPs and HIPAA rules.

Skills

RCM experience

US insurance

HIPAA compliance

CPT/ICD-10 knowledge

PHI handling

English proficiency

Education

CPB/CRCR certification

Tools

Payer portals

Clearinghouses

Billing platforms

Job description

Pearl Talent is hiring a Revenue Cycle Management Specialist to run end-to-end US healthcare billing from a fully remote setup. You will verify eligibility, submit and follow up on claims, post payments, and manage denials, working with families and payers across the US. Ideal candidates have 2+ years in US RCM and HIPAA‑compliant experience.

Remote work is available from LATAM or the Philippines, with a 9AM–5PM PST schedule. Competitive compensation and mentoring are offered.