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    • Work directly with insurance companies to resolve billing and reimbursement issues.
    • Prior experience in U.S. healthcare billing or revenue cycle management is…
    • View all Sailor Health jobs - Canada jobs - Medical Biller jobs in Canada
    • Salary Search: Medical Claims Billing Specialist (Canada) salaries in Canada
    • Enter and review medical billing claims with accuracy and efficiency.
    • Has experience in the medical field, medical transcription, or medical administration (an…
    • Correspond with clients regarding billing issues/disputes/updates and any other project reporting required in accordance with the client contract.
    • Minimum 4 years experience providing medical billing services.
    • Knowledge of and/or experience with Alberta Health billing processes, rules & regulations…
    • This individual will be responsible for managing medical billing information, processing claims to Manitoba Health and insurance companies while ensuring…
    • Correspond with clients regarding billing issues/disputes/updates and any other project reporting required in accordance with the client contract.
    • This role also assists with the billing and collection of Medical Imaging procedures for non-OHIP patients in accordance with Hospital policies.
    • Collaborate with the pharmacy team to ensure seamless and efficient billing processes.
    • Retail or community pharmacy experience (minimum 2 years of experience).
    • Knowledge of medical terminology and familiarity with electronic medical records, such as OSCAR, are preferred but not required.
    • Medical Office Administration certification or experience is an asset but not necessary if candidate has experience in a fast paced retail or service position.
    • Paid hands-on training with our experienced management team.
    • MetCredit is seeking full-time collection specialists who can work in office for our Mississauga…
    • Working collaboratively with physicians and other colleagues.
    • Cooperating with physicians in meeting their needs requirements.
    • Working collaboratively with physicians and other colleagues.
    • Cooperating with physicians in meeting their needs requirements.
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Job Post Details

Medical Claims Billing Specialist (Canada)
Canada
•
Remote
Full-time

Job details

Pay information not provided
Full-time
Remote in Canada

Full job description

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.

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