Remote Revenue Integrity Specialist (Healthcare)

Work From Anywhere in LATAM or the Philippines Work Schedule: ET | Flexible hours aligned to US payer business hours Compensation Range: $1,300 – $1,500 USD/month based on experience A US-based healthcare provider in the Applied Behavior Analysis space is scaling its Revenue Cycle Management function and hiring a Revenue Integrity Specialist to own the post-submission side of the revenue cycle and recover revenue that has gone unworked. The company is restructuring a previously generalist RCM team into dedicated specialist lanes — billing, denials, and revenue integrity — so each function has a single owner. The team is small, the manager is hands-on, and the expectation is full visibility: daily queue updates in a shared Slack channel and direct escalation when something blocks a claim from closing. This role centers on stale claim management, aging AR follow-up, and payment accuracy verification. Day-to-day work lives inside a billing platform, an outbound phone queue (10–25 insurance carrier calls per day), and a shared billing inbox for paper remits. Success means consistent claims removed from the queue every day, days in AR trending downward, and every underpayment identified and pursued — not written off. Must-Have 1+ year of medical billing or revenue cycle experience working directly with US insurance payers Demonstrated experience with high-volume outbound phone work — minimum 10+ calls per day to external parties (insurance carriers, payer service lines, or equivalent) Hands-on use of a payer portal such as Availity for claim status checks, follow-up, and documentation Proficiency reading and interpreting EOBs and ERAs to identify underpayments, short pays, and incorrect adjustments Experience documenting payer interactions with rep names, reference/ICN numbers, outcomes, and next steps in a billing platform or CRM Ability to work US Eastern Time hours to align with insurance carrier call windows C1+ English (CEFR) for daily written updates, outbound payer calls, and direct communication with a US-based RCM manager Nice-to-Have Prior call center, receptionist, or heavy-phone-volume background with experience handling difficult or adversarial calls Experience working within Candid or a comparable RCM/billing platform ABA or behavioral health billing background Familiarity with CARC/RARC codes and secondary billing or Coordination of Benefits (COB) processes Experience with payers such as TRICARE, HMSA, Medicaid, or major commercial insurers 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: https://www.loom.com/share/863b8e426e6d48309aa8f4ea4c1c94cd