Scheduled Hours 40 Position Summary Performs advanced billing and collection activities. Acts as Lead IBC Assistant. Make collection calls, verifying accuracy and completeness of claims, contacts insurance companies and collection agencies in regards to expediting payments from various payers for physician’s services. Handles discounts, adjustments and charge corrections. Job Description Primary Duties & Responsibilities: - May act as a Lead IBC Assistant. May train and provide guidance to other IBC Assistants. - Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims. - Handles discounts, adjustments and charge corrections. - Makes collection calls to insurance companies and patients to ensure timely payment of claims. - Reviews remittance advises for rejection and accuracy of payment amounts. - Verifies accuracy and completeness of charge tickets, monitors attachments for claims to obtain maximum reimbursements. - Contacts insurance companies regarding posting payments and collection agencies regarding payment reports. - Responds to questions and requests from Insurance companies. - Supports customer service unit in answering billing and collection questions. - Acts as back-up support for Accounts Receivable staff during peak times, vacations and illnesses. Working Conditions: Job Location/Working Conditions - Normal office environment Physical Effort - Typically sitting at desk or table - Repetitive wrist, hand or finger movement (PC typing) Equipment - Office equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Billing Or Insurance (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: Post-Secondary Education (2 Years) Skills: Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Medical Terminology, Office Equipment, Telephone System Grade C08-H Salary Range $20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

• Perform advanced billing and collection activities • Act as Lead IBC Assistant • Make collection calls, verifying accuracy and completeness of claims • Handle discounts, adjustments, and charge corrections • Contact insurance companies and collection agencies regarding expediting payments • Train and provide guidance to other IBC Assistants • Perform collection follow-up duties on specific financial classifications • Review remittance advises for rejection and accuracy of payment amounts • Support customer service unit in answering billing and collection questions

Department: Finance and Accounting Work Arrangement: Remote Job Type: Independent Contractor, Full Time Work Schedule: US Time Zone (candidate expected to be flexible with the client's preference) Locations: Philippines, LATAM, South Africa, Kenya, and other remote regions with excellent English communication skills 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. Role Overview The Billing Specialist manages accurate and timely billing operations while supporting end-to-end revenue cycle activities. This role focuses on claims submission, payment posting, denial resolution, insurance verification, and account follow-ups to ensure billing accuracy and compliance. You will serve as a key billing point of contact, working closely with internal teams and external stakeholders to resolve billing issues and maintain clean accounts. This role is ideal for detail-oriented professionals who thrive in structured environments and take ownership of billing accuracy. Your Impact Your work directly supports revenue integrity by reducing claim errors, accelerating collections, and minimizing payment delays. Through accurate billing and proactive follow-ups, you help organizations maintain compliance, improve cash flow, and operate efficiently. Your consistency and attention to detail protect the business from financial and regulatory risk. Core Responsibilities Claims Processing & Billing Operations — 35% - Prepare, review, and submit billing claims accurately and on time - Ensure proper coding and documentation before submission - Monitor claim status and follow up on unpaid or pending claims - Maintain detailed billing records and claim documentation Denial Management & Resolution — 25% - Investigate denied or rejected claims and identify root causes - Prepare corrected claims and appeal documentation - Coordinate with payers and internal teams to resolve issues - Track denial trends and support process improvements Insurance Verification & Authorization — 15% - Verify insurance coverage, eligibility, and benefits - Obtain and track required authorizations - Maintain accurate authorization documentation - Resolve benefit and coverage discrepancies Payment Posting & Accounts Receivable — 10% - Post insurance and patient payments accurately - Reconcile remittance advice and explanations of benefits - Monitor aging reports and prioritize follow-ups - Escalate discrepancies or unresolved balances Billing Communication & Support — 10% - Respond to billing inquiries via email, phone, or portals - Provide clear updates on claim status and balances - Communicate professionally with internal and external stakeholders - Handle sensitive billing matters with discretion Compliance & Documentation — 5% - Maintain compliance with privacy and billing regulations - Keep organized, audit-ready billing records - Follow established billing policies and procedures

Department: Finance and Accounting Work Arrangement: Remote Job Type: Independent Contractor, Full Time Work Schedule: US Time Zone (candidate expected to be flexible with the client's preference) Locations: Philippines, LATAM, South Africa, Kenya, and other remote regions with excellent English communication skills 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. Role Overview The Billing Specialist manages accurate and timely billing operations while supporting end-to-end revenue cycle activities. This role focuses on claims submission, payment posting, denial resolution, insurance verification, and account follow-ups to ensure billing accuracy and compliance. You will serve as a key billing point of contact, working closely with internal teams and external stakeholders to resolve billing issues and maintain clean accounts. This role is ideal for detail-oriented professionals who thrive in structured environments and take ownership of billing accuracy. Your Impact Your work directly supports revenue integrity by reducing claim errors, accelerating collections, and minimizing payment delays. Through accurate billing and proactive follow-ups, you help organizations maintain compliance, improve cash flow, and operate efficiently. Your consistency and attention to detail protect the business from financial and regulatory risk. Core Responsibilities Claims Processing & Billing Operations — 35% - Prepare, review, and submit billing claims accurately and on time - Ensure proper coding and documentation before submission - Monitor claim status and follow up on unpaid or pending claims - Maintain detailed billing records and claim documentation Denial Management & Resolution — 25% - Investigate denied or rejected claims and identify root causes - Prepare corrected claims and appeal documentation - Coordinate with payers and internal teams to resolve issues - Track denial trends and support process improvements Insurance Verification & Authorization — 15% - Verify insurance coverage, eligibility, and benefits - Obtain and track required authorizations - Maintain accurate authorization documentation - Resolve benefit and coverage discrepancies Payment Posting & Accounts Receivable — 10% - Post insurance and patient payments accurately - Reconcile remittance advice and explanations of benefits - Monitor aging reports and prioritize follow-ups - Escalate discrepancies or unresolved balances Billing Communication & Support — 10% - Respond to billing inquiries via email, phone, or portals - Provide clear updates on claim status and balances - Communicate professionally with internal and external stakeholders - Handle sensitive billing matters with discretion Compliance & Documentation — 5% - Maintain compliance with privacy and billing regulations - Keep organized, audit-ready billing records - Follow established billing policies and procedures