Medical Claims Billing Specialist (Philippines)

Job description

ABOUT SAILOR HEALTH At Sailor Health, we envision a world where every senior has seamless access to compassionate, effective, and personalized mental health care. Join us on our mission to redefine the golden years, enabling older adults across the nation to live happier, healthier, and more fulfilling lives. ABOUT THE ROLE Title: Medical Claims Billing Specialist Location: Remote – Philippines only Monthly pay rate: USD $1,200–$1,500 (full-time; no other jobs allowed. Compensation within the range will be determined based on experience.) We’re hiring a full-time remote Medical Claims Billing Specialist to support Sailor Health’s growing Revenue Cycle Management operations. This is a highly execution-driven role focused on ensuring claims are submitted accurately, worked quickly, and reimbursed efficiently. You will spend the majority of your day submitting medical claims, following up with insurance payers, resolving denials, correcting claim issues, and ensuring timely payment across Medicare and commercial insurance plans. Your work will directly impact the financial health of the company and help ensure patients can continue accessing care without interruption. This role sits at the intersection of operations, billing, and payer management. It is ideal for someone who is detail-oriented, highly organized, persistent, and experienced in U.S. healthcare billing workflows. Experience in at least one of the following is absolutely mandatory: - Medical claims billing - Revenue cycle management (RCM) - Insurance claims follow-up and denials management - Prior experience working in U.S. healthcare 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 QUALIFICATIONS - 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 WHY JOIN SAILOR HEALTH - 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. If this sounds like you, we’d love to connect. Join us in redefining what it means to age with dignity, connection, and mental wellness.