Medical Claims Billing Specialist
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Job Description
Medical Claims Billing Specialist handling healthcare claims for Sailor Health. Responsible for submitting medical claims and resolving billing issues across insurance payers.
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
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.
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