Remote US Healthcare RCM & Billing Specialist

Pearl Talent; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive salary

Fully remote

Team incentives

Generous PTO

PH health coverage

Job summary

Pearl Talent is seeking a Revenue Cycle Management Specialist to manage insurance verification, claims submission, posting, denials, and patient collections for US healthcare clients. This fully remote role welcomes candidates from LATAM or the Philippines, with a 9AM-5PM PST schedule.

You will work with payers, families, and internal teams to ensure clean claims, timely reimbursement, and accurate billing experiences. At least 2 years of US healthcare billing experience is required.

Qualifications

• 2+ years of hands-on US healthcare revenue cycle or medical billing experience.
• Hands-on experience across eligibility and benefits verification, claims submission, payment posting, claims follow-up, and denial management.
• Working knowledge of CPT, ICD-10, and modifiers for claim review and validation.
• HIPAA-compliant handling of PHI while using payer portals and billing platforms.

Responsibilities

• Eligibility & Benefits Verification: Verify insurance eligibility and benefits before visits and submissions, document results.
• Claims Submission: Validate demographics, insurance details, CPT/ICD-10, and submit claims within filing requirements.
• Payment Posting: Post insurance and patient payments, reconcile with deposits and remittances.
• Claims Follow-up, Denials & Appeals: Follow up on unpaid or underpaid claims, identify denial causes, and process appeals.
• Patient Billing & Collections: Explain coverage to patients, set up payment arrangements, respond to inquiries.
• Documentation & Quality: Record RCM activity per SOPs and HIPAA requirements, meet productivity targets.

Skills

US healthcare revenue cycle

Medical billing

Eligibility verification

Claims submission

Payment posting

Denials management

Payer portals

HIPAA handling

English proficiency C1+

Tools

Payer portals

Clearinghouses

Billing platforms

Job description

Pearl Talent is seeking a Revenue Cycle Management Specialist to manage insurance verification, claims submission, posting, denials, and patient collections for US healthcare clients. This fully remote role welcomes candidates from LATAM or the Philippines, with a 9AM-5PM PST schedule.

You will work with payers, families, and internal teams to ensure clean claims, timely reimbursement, and accurate billing experiences. At least 2 years of US healthcare billing experience is required.