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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