Medical Claims Billing Specialist (Canada)

Sailorhealth
CA
Remote

Who this role is best for

Geared toward detail-oriented professionals comfortable with high-volume operational work in U.S. healthcare billing workflows.

Best fit for

  • Experienced in U.S. healthcare billing with a focus on Medicare and commercial insurance.
    — “Experience working with Medicare and commercial insurance payers strongly preferred
  • Detail-oriented individuals who thrive in fast-paced, execution-driven environments.
    — “Extremely detail-oriented and organized
  • Candidates who can independently manage high-volume claims processing.
    — “Comfortable handling high-volume operational work with speed and accuracy

Things to consider

  • Full-time role with no other employment allowed.
    — “full-time; no other jobs allowed
  • Requires prior experience in U.S. healthcare billing or revenue cycle management.
    — “Prior experience in U.S. healthcare billing or revenue cycle management is required

How to stand out

  • Highlight specific instances where you resolved complex claim denials or payer issues.
    — “Work directly with insurance companies to resolve billing and reimbursement issues
  • Demonstrate your ability to improve operational efficiency in past roles.
    — “Continuously improve billing workflows, operational efficiency, and claim turnaround times
  • Showcase your experience with EHRs, billing systems, or insurance portals.
    — “Experience using EHRs, billing systems, clearinghouses, or insurance portals preferred
Pace · Fast PacedCollaboration · MediumAutonomy · MediumDecision Impact · TeamLevel · Mid

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • submit medical claims
  • follow up on denied claims
  • resolve billing issues
  • submit corrected claims
  • manage appeals
Typical background
prior experience in U.S. healthcare billing or revenue cycle management

Skills & requirements

Required

Medical Claims BillingRevenue Cycle ManagementInsurance Claims Follow-upDenials ManagementClaims CorrectionAppeals ManagementBilling Systems

Preferred

EhrsBilling SystemsInsurance Portals

Stack & domain

Medical Claims BillingRevenue Cycle ManagementInsurance Claims Follow-upDenials ManagementAppealsEhrsBilling SystemsClearinghousesInsurance PortalsDetail-orientedOrganizedPersistentCommunicationHealthcareBilling

About the role

Original posting from Sailorhealth via Ashby

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.

Source: Sailorhealth careers (Ashby)

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