Medical Claims Billing Specialist

S
Sailor HealthHealthcare
Remote – Philippines onlyFull-TimeMiddle
Salary1,200 - 1,500 USD per month
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Job Details

Languages
English
Required Skills
EHR

Requirements

  • Prior experience in U.S. healthcare billing or revenue cycle management
  • Experience working with Medicare and commercial insurance payers
  • 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

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
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1,200 - 1,500 USD per month
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