Medical Claims Billing Specialist – Remote (Philippines)

About the role

We are hiring a full‑time remote Medical Claims Billing Specialist to support Sailor Health’s Revenue Cycle Management operations. You will submit medical claims, follow up with insurance payers, resolve denials and ensure timely reimbursement across Medicare and commercial plans, directly impacting the company’s financial health and patient access to care.

Key responsibilities

• 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 correct 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.

Required profile

• Prior experience in U.S. healthcare billing or revenue cycle management.
• Experience working with Medicare and commercial insurance payers.
• Strong understanding of claims submission, denials management, appeals and payer follow‑up workflows.
• Extremely detail‑oriented, organized and able to handle high‑volume operational work.
• Excellent written and verbal English communication skills.

Required skills

• Medical claims billing
• Revenue cycle management (RCM)
• Insurance claims follow‑up and denials management
• Experience with EHRs, billing systems, clearinghouses or insurance portals

What we offer

• Mission‑driven impact helping older adults access mental health care.
• Remote‑first team with flexibility and collaborative culture.
• Growth and ownership opportunities in a small, agile organization.
• Chance to make a difference in patients’ lives every day.