Medical Claims Billing Specialist – Remote (Canada)

About the role

Sailor Health is seeking a full‑time remote Medical Claims Billing Specialist to support its Revenue Cycle Management operations across Canada. The role focuses on accurate claim submission, prompt follow‑up with insurers, and efficient reimbursement to ensure patients receive uninterrupted care.

Key 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.
• Maintain accurate documentation and claim status updates across internal systems.
• Monitor aging claims and proactively escalate high‑risk accounts or payer issues.

Required profile

• Prior experience in U.S. healthcare billing or revenue cycle management.
• Experience working with Medicare and commercial insurance payers preferred.
• Strong understanding of claims submission, denials management, appeals, and payer follow‑up workflows.
• Extremely detail‑oriented, organized, and able to handle high‑volume operational work.

Required skills

• EHR systems
• Billing systems
• Clearinghouses
• Insurance portals

What we offer

• Mission with impact – help older adults access mental health care.
• Remote‑first team with flexibility and collaboration.
• Growth and ownership in a small, agile environment.
• Opportunity to make a daily difference for seniors and their families.