Billing Specialist

Job not on LinkedIn

🕒 May 14

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Catena

WebsiteLinkedInAll Job Openings

1 - 10 employees

👥 HR Tech

🏢 Enterprise

🎯 Recruiter

HR Tech • Enterprise • Recruitment

Catena, now known as Pearl Talent, is a company that specializes in helping organizations hire top remote talent from overseas, primarily focusing on candidates from the Philippines and Latin America. They offer a rigorous vetting process to ensure they provide highly capable candidates equipped with modern software skills and fluent English proficiency. Pearl Talent provides two main hiring services: Managed Services, which handles compliance, payroll, and training, and Direct Placement for companies that manage hires internally. They focus on long-term retention and quality in their hiring processes, aiming to build high-performing remote teams for a range of industries including healthcare, real estate, and finance.

📋 Description

• - 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. • - Validate CPT, ICD-10, 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.

🎯 Requirements

• - Minimum 1 year of experience in medical billing or revenue cycle management. • - Strong understanding of pre-submission workflows and claim editing processes. • - Experience working within an EHR platform. • - Knowledge of CPT, ICD-10, and modifier usage. • - Strong organizational skills and high attention to detail. • - Excellent written and verbal English communication skills. • - Ability to manage multiple priorities in a fast-paced environment. • Nice-to-Haves (Preferred) • - 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. • Tools Proficiency • - Candid or similar billing platforms • - EHR systems • - Google Workspace • - Microsoft Excel or Google Sheets • - Payer portals

🏖️ Benefits

• - **Competitive Salary:** Based on experience and skills • - **Remote Work:** Fully remote—work from anywhere • - ** Team Incentives:** Recognition for maintaining 100% CRM hygiene and on-time reporting • - ** Generous PTO:** In accordance with company policy • - ** Health Coverage for PH-based talents:** HMO coverage after 3 months for full-time employees • - **Direct Mentorship:** Guidance from international industry experts • - **Learning & Development:** Ongoing access to resources for professional growth • - **Global Networking:** Connect with professionals worldwide