Medical Claims Billing Specialist (Canada)

Sailor Health

8d•Remote

About The Position

Sailor Health is seeking a full-time, remote Medical Claims Billing Specialist to join their Revenue Cycle Management team. This role is crucial for ensuring accurate and efficient claims submission and reimbursement across Medicare and commercial insurance plans. The specialist will be responsible for submitting claims, following up with payers, resolving denials, and correcting claim issues. This position requires a detail-oriented, organized, and persistent individual with experience in U.S. healthcare billing workflows. The role offers the opportunity to directly impact the company's financial health and ensure continued patient access to care.

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

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 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