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Medical Billing Assistant (Neurology Healthcare) - A321 at Pearl. Industry. Finance and Accounting. Work Arrangement. Fully Remote with required overlap during U.S. business hours (PST). Job Type. Full-time, Independent Contractor. Work Schedule. Monday to Friday, 40 hours per week. Primary schedule: 8:00 AM – 5:00 PM PST or 9:00 AM – 6:00 PM PST depending on operational needs. Some flexibility may be required for urgent billing follow-ups or end-of-month tasks. Locations:. Philippines (PH) or Latin America (LATAM) — Remote. 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. 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 provider specializing in neurology care, focused on treating migraine and headache disorders through evidence-based and patient-centered treatment approaches. The organization is building a modern, efficient clinical operation supported by a distributed team that helps streamline administrative workflows and improve patient experience.. The company prioritizes operational efficiency, accuracy in billing processes, and strong collaboration between clinical and administrative teams to ensure timely reimbursements and high-quality patient service.. Role Overview. The Medical Billing Assistant supports the healthcare provider’s revenue cycle operations by ensuring accurate insurance verification, claims submission, payment posting, and denial resolution. This role is critical in maintaining the financial health of the practice by helping ensure that claims are processed correctly and reimbursements are received on time.. You will work closely with administrative and clinical team members while operating independently in a remote environment. The role requires strong attention to detail, an understanding of U.S. healthcare billing processes, and the ability to proactively identify and resolve billing issues.. Candidates who thrive in this role are organized, analytical, and comfortable working in fast-paced healthcare environments where accuracy, compliance, and efficiency are essential.. Your Impact. In this role, you will directly contribute to maintaining a healthy revenue cycle by ensuring claims are processed accurately and reimbursements are received efficiently. Your work will help reduce claim denials, improve first-pass acceptance rates, and maintain strong financial operations within the clinic.. You will play an important role in identifying billing issues early, resolving denials quickly, and maintaining accurate records that support financial transparency. By helping maintain efficient billing workflows and reliable reporting, you will support both operational stability and improved patient billing experiences.. Core Responsibilities. Insurance Verification & Eligibility – 20%. Verify patient insurance eligibility and benefits before services are rendered. . Confirm coverage details including copays, deductibles, and authorization requirements. . Identify potential coverage issues early to prevent claim denials or billing delays. . Document verification results accurately within the EHR or billing systems. . Claims Processing & Denial Management – 35%. Submit accurate and compliant claims through the revenue cycle management system. . Review rejected or denied claims and determine root causes. . Correct claim errors and resubmit claims when necessary. . Prepare and submit claim appeals while following payer-specific guidelines. . Payment Posting & Patient Billing – 25%. Post insurance and patient payments accurately to patient accounts. . Generate and manage patient billing statements. . Respond to patient billing inquiries when required. . Reconcile account balances and resolve discrepancies. . KPI Tracking & Reporting – 10%. Monitor key revenue cycle metrics such as denial rate, AR aging, and claim acceptance rate. . Maintain accurate billing records and data entry. . Support preparation of reports related to billing performance. . Team Collaboration & Administrative Support – 10%. Collaborate with administrative and clinical staff through remote communication tools. . Assist team members with billing questions or process clarifications. . Escalate complex billing or compliance issues to senior staff. . Contribute to documentation and process improvements for billing workflows.. Must-Haves (Required). 1–3 years of experience in medical billing within U.S. healthcare environments. . Strong understanding of the medical revenue cycle including claims submission, denial management, and payment posting. . Experience verifying insurance eligibility and benefits using payer portals or billing systems. . Excellent written and verbal English communication skills. . High attention to detail with the ability to identify discrepancies and resolve billing issues. . Ability to work independently in a fully remote environment. . Reliable high-speed internet connection and a quiet workspace.. Nice-to-Haves (Preferred). Experience using Elation EHR or Candid RCM platforms. . Familiarity with buy-and-bill drug billing processes. . Knowledge of specialty billing such as neurology or migraine treatment services. . Familiarity with CPT and ICD-10 coding related to specialty care. . Experience using payer portals such as Availity. . Experience supporting growing healthcare practices or startup-style clinics.. Tools Proficiency. Must-Haves (Required). Elation EHR . Candid RCM . Availity . Insurance payer portals . Google Workspace (Docs, Sheets, Drive) . Zoom . Email . Slack or similar messaging platforms. Nice-to-Haves (Preferred). KPI dashboards or internal reporting tools . Process documentation tools used by remote teams . Company Location: Mexico.