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

• Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process. • Notify the client via email alert or work list that one of their patients is entering the patient billing process. • Answer questions from the client regarding a patient’s case history. • Call patients for updated insurance information. • Call the patients to offer them financial assistance and payment plans. • Review/approve statement balance. • Send letters and billing statements to the patients. • Send financial assistance applications to patients and process returned financial assistance documents. • Comply with all Patient Billing process, system, and documentation SOPs (Standard Operating Procedure). • Meet patient billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks. • Participate in team meetings by sharing the details of cases worked. • Act as backup on answering incoming telephone calls as needed. • Other duties as assigned

Role Description The primary responsibility of this Billing Analyst role is to manage the billing process including issue invoices as per contract, reconciliation, aging analysis, supporting accounts receivable functions, and working with various counterparts (India billing team, Sales, Finance, Collections etc) to resolve issues. Core Responsibilities - Billing Operations & Accuracy - Prepare, validate, and issue invoices with high accuracy for a variety of billing scenarios (contracts, usage-based, milestone billing, etc.). - Review customer contracts, pricing schedules, and service agreements to ensure correct billing application. - Manage complex billing adjustments such as credit notes, debit notes, and rebills. - Maintain and validate customer master data, supporting your SAP-driven process. - Cross-Functional & Cross-Border Collaboration - Work closely with Sales, Customer Service, Finance, and Collections on resolving discrepancies. - Coordinate with the India offshore billing team to distribute tasks, review outputs, manage escalations, and maintain SLA performance. - Communicate clearly with internal and external stakeholders using strong interpersonal skills. - Issue Resolution & Analytical Review - Investigate billing discrepancies, disputes, and variances. - Support AR and Collections teams by supplying timely billing data and backup documents. - Perform aging analysis, billing reconciliation, and data validation where required. - Process Improvement & Audit Compliance - Identify inefficiencies and contribute to process improvements in the order-to-cash workflow. - Ensure compliance with internal controls, audit requirements, and Singapore GST regulations. - Document SOPs and participate in internal or external audits when needed. Qualifications - Bachelor’s degree in Accounting, Finance, Business Administration, or a related field (or equivalent). - Professional certifications (optional but advantageous): - CAT / LCCI - ACCA (part-qualified) - SAP certification (advantageous) Requirements - Minimum 5 years of experience in a similar billing or O2C role within a multinational company. - Proven track record working within shared service, regional billing, or high-volume billing environments. - Experience collaborating with offshore teams, preferably India-based SSC/BPO teams. - Experience handling complex billing scenarios and multi-country stakeholders is a plus. Benefits - Flexible work arrangements, including remote or hybrid options. - Access to a robust ecosystem of innovation centers and established partners.