Medical Claims Billing Specialist

🕒 May 19

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Sailor Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

📡 Telecommunications

Healthcare Insurance • Healthcare • Telecommunications

Sailor Health is a mental health service dedicated to providing compassionate therapy specifically designed for seniors. They connect older adults with experienced therapists who specialize in geriatric care, offering personalized therapy sessions online or over the phone, with most being covered by Medicare. Sailor Health emphasizes accessibility and affordability, ensuring that seniors can receive the support they need from the comfort of their homes.

📋 Description

• Submit medical claims accurately and efficiently to insurance payers • Review, track, and follow up on denied, rejected, unpaid, or stale claims • Work directly with insurance companies to resolve billing and reimbursement issues • Identify and resolve claim errors, eligibility issues, authorization gaps, and payer rejections • Submit corrected claims and manage appeals when necessary • Maintain accurate documentation and claim status updates across internal systems • Monitor aging claims and proactively escalate high-risk accounts or payer issues • Partner closely with intake, credentialing, clinical, and operations teams to resolve claim blockers quickly • Ensure timely and accurate workflows related to reimbursement and collections • Continuously improve billing workflows, operational efficiency, and claim turnaround times

🎯 Requirements

• Prior experience in U.S. healthcare billing or revenue cycle management is required • Experience working with Medicare and commercial insurance payers strongly preferred • Strong understanding of claims submission, denials management, appeals, and payer follow-up workflows • Extremely detail-oriented and organized • Strong written and verbal English communication skills • Comfortable handling high-volume operational work with speed and accuracy • Ability to work independently in a fast-paced environment • Experience using EHRs, billing systems, clearinghouses, or insurance portals preferred

🏖️ Benefits

• Mission with impact. Help bring life-changing care to a population that’s too often overlooked. • Remote-first team. Enjoy the flexibility of remote work while staying closely connected with a thoughtful, collaborative team rooted in purpose. • Growth and ownership. Be part of a small, agile team where you’ll take initiative, shape key processes, and grow as we grow. • Make someone’s day – every day. Your work helps older adults and their families feel seen, supported, and cared for.