Department: Admin and Executive Assistance

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 Bilingual Billing Specialist (Spanish/English) manages accurate and timely billing operations while providing bilingual support to Spanish- and English-speaking stakeholders. This role ensures billing accuracy, compliance, and clear communication across language barriers.

You will handle claims processing, billing inquiries, account follow-ups, and documentation while serving as a key bilingual point of contact. This role is ideal for detail-oriented professionals who combine billing expertise with strong bilingual communication skills.

Your Impact

Your bilingual capability ensures billing clarity, reduces miscommunication, and improves resolution timelines. By delivering accurate billing support in both Spanish and English, you help organizations maintain compliance, improve collections, and enhance overall stakeholder trust. Your work directly supports operational efficiency and positive customer or patient experiences.

Core Responsibilities

Bilingual Claims & Billing Processing — 30%

Prepare, review, and submit billing claims accurately and on time
Ensure proper coding and documentation across billing records
Process billing information involving Spanish- and English-language documentation
Monitor claim status and follow up with payers or stakeholders as needed
Translate billing-related documents between Spanish and English when required

Bilingual Account Resolution & Communication — 25%

Investigate and resolve billing discrepancies or denied claims
Communicate billing outcomes and next steps in Spanish or English
Prepare appeal documentation and supporting records
Explain billing concepts clearly across both languages
Coordinate with internal teams to resolve complex billing issues

Bilingual Account Management — 20%

Serve as primary bilingual contact for billing inquiries
Explain billing statements, balances, and payment options
Establish and manage payment arrangements when applicable
Handle sensitive billing conversations with professionalism and cultural awareness
Maintain accurate documentation of bilingual communications

Insurance Verification & Authorization Support — 15%

Verify benefits and eligibility and communicate coverage details bilingually
Obtain and track authorizations as required
Translate authorization-related documentation
Maintain accurate authorization records

Payment Posting & Reconciliation — 5%

Post payments accurately and reconcile billing records
Review explanations of benefits and resolve discrepancies
Communicate payment updates or issues bilingually

Compliance & Documentation — 5%

Ensure all billing activities comply with privacy and regulatory requirements
Maintain organized and accurate billing documentation
Support creation and maintenance of bilingual billing templates

Requirements

Must-Haves (Required)

Fluent written and verbal Spanish and English communication
1–2+ years of experience in billing, collections, or revenue cycle roles
Strong attention to detail and billing accuracy
Experience handling billing documentation and account follow-ups
Ability to translate billing-related information between Spanish and English
Strong organizational and time-management skills
Professional handling of confidential financial information
Ability to work independently in a remote environment

Nice-to-Haves (Preferred)

Experience in regulated industries (e.g., healthcare, insurance, finance)
Familiarity with medical or insurance billing terminology
Billing or revenue cycle certifications
Experience working with Spanish-speaking customer or patient populations
Exposure to multi-location or high-volume billing environments

Tools Proficiency

Must-Haves (Required)

Billing or accounting systems (any industry-standard platform)
Spreadsheets: Google Sheets or Microsoft Excel
Communication tools: Email, phone systems, Slack, Zoom, Microsoft Teams

Nice-to-Haves (Preferred)

Practice management or billing platforms
Accounting software (QuickBooks or similar)
Google Workspace or Microsoft Office Suite
Patient or customer portals and messaging systems
Translation or documentation tools

Benefits

Competitive Salary: Based on experience and skills
Remote Work: Fully remote — work from anywhere
Generous PTO: In accordance with company policy
Direct Mentorship: Access to global industry leaders
Learning & Development: Continuous growth resources
Global Networking: Work with international teams
Health Coverage (Philippines only): HMO after 3 months (full-time)

Our Recruitment Process

Application
Skills Assessment
Initial Screening
Top-grading Interview
Client Matching
Job Offer
Onboarding

Ready to Join Pearl Talent?

If you're a driven professional ready to work with exceptional founders building the next generation of world-class companies, we'd love to meet you. Apply now to unlock opportunities where your growth, impact, and success are our top priorities.

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