Medical Claims Billing Specialist (Canada)

Reposted 8 Days Ago
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Hiring Remotely in New York City, NY, USA
In-Office or Remote
Mid level
Healthtech • Social Impact • Telehealth
Happier and healthier aging
The Role
The Medical Claims Billing Specialist manages medical claims, resolves denials, and ensures timely payment for services, impacting financial health.
Summary Generated by Built In
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 – Canada only

Employment: full-time; no other jobs allowed. Compensation 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.

Skills Required

  • Prior experience in U.S. healthcare billing or revenue cycle management
  • Strong understanding of claims submission, denials management, appeals, and payer follow-up workflows
  • Experience working with Medicare and commercial insurance payers
  • Experience using EHRs, billing systems, clearinghouses, or insurance portals

Sailor Health Compensation & Benefits Highlights

  • Healthcare Strength Full-time W‑2 roles are described as including medical, dental, and vision coverage, with some materials also referencing access to One Medical.
  • Retirement Support Job materials cite a 401(k) for eligible W‑2 employees, with some postings specifying employer matching up to 3.5%.
  • Wellbeing & Lifestyle Benefits The company profile highlights free daily meals and snacks, company‑sponsored outings and happy hours, plus lunch‑and‑learns and a promote‑from‑within approach.

Sailor Health Insights

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The Company
HQ: New York City, NY
20 Employees
Year Founded: 2024

What We Do

Getting older in America is tough: 90% of seniors live with chronic health conditions. 40% report feeling isolated. And despite having the highest suicide rates of any age group, older adults receive mental health therapy 70% less than the average American. Sailor Health is building the AI-native health system for happier and healthier aging. Sailor offers virtual mental health, wellness classes, care navigation, and AI care agents, all covered by Medicare. We've built the AI-powered operating system for our providers, where clinical copilots deliver real-time insights and autonomous agents handle the administrative grind. We are growing quickly and have partnered with Medicare to offer affordable and exceptional care to thousands of patients across 50 states. We are honored to have the support and backing of world-class founders from Ramp, Nourish, Headway, Charlie Health, and Spring Health.

Why Work With Us

We are one of the fastest-moving teams in health tech: every person punches above their weight and owns meaningful work far beyond their title. We’re lucky to be backed by world-class founders of Ramp, Headway, Charlie Health, Spring Health, and Nourish.

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Sailor Health Offices

OnSite Workspace

All HQ employees work in person in our beautiful office in Soho, NYC.

Typical time on-site: None
HQNew York, NY

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