Job Overview
Location
Philippines
Job Type
Full-time
Category
Marketing
Date Posted
May 21, 2026
Full Job Description
đź“‹ Description
- • Submit medical claims accurately and efficiently to U.S. insurance payers, including Medicare and commercial insurers, ensuring adherence to billing standards and regulatory requirements.
- • Review, track, and follow up on denied, rejected, unpaid, or stale claims to minimize revenue loss and ensure timely reimbursement.
- • Work directly with insurance companies to resolve billing discrepancies, payer rejections, eligibility issues, and authorization gaps.
- • Identify and correct claim errors such as incorrect coding, missing information, or non-compliant documentation before resubmission.
- • Prepare and submit corrected claims and manage the appeals process for denied claims when necessary to secure proper reimbursement.
- • Maintain complete and accurate documentation of all claim statuses, payer communications, and resolution actions within internal systems.
- • Monitor aging claims and proactively escalate high-risk or high-value accounts to prevent payment delays or write-offs.
- • Collaborate closely with intake, credentialing, clinical, and operations teams to resolve claim blockers related to patient data, provider credentials, or service authorization.
- • Ensure all billing workflows align with reimbursement timelines and collections targets, optimizing cash flow for the organization.
- • Continuously identify inefficiencies in billing processes and implement improvements to increase claim accuracy, reduce turnaround time, and enhance operational efficiency.
- • Handle high-volume daily workloads with precision and speed, maintaining strict attention to detail under tight deadlines.
- • Communicate clearly and professionally with insurance payers via phone, email, and portals to resolve complex billing issues and negotiate resolutions.
- • Ensure full compliance with U.S. healthcare billing regulations and internal policies throughout all stages of the revenue cycle.
- • Utilize EHRs, billing systems, clearinghouses, or insurance portals to process, track, and manage claims with minimal error.
- • Work independently in a fully remote environment while maintaining accountability, consistency, and responsiveness to team needs.
- • Support the company’s mission by ensuring uninterrupted access to mental health care for seniors through reliable and timely reimbursement workflows.
🎯 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
🏖️ 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.
Skills & Technologies
Remote
About Sailor Health Inc.
Sailor Health provides digital behavioral-health solutions for maritime fleets, combining 24/7 teletherapy access, self-guided programs, and data analytics to improve seafarer mental health. The platform integrates wearable and shipboard data to detect distress early, offers multilingual counseling, and delivers aggregated insights to ship operators to reduce turnover, accidents, and insurance claims.
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