Healthcare VA / support
Insurance Authorization Specialist
Sailor Health
Remote·Posted 5 months ago·Checked 5h agoAshby
Open to applicants in the Philippines
RemoteNurse lists a remote role only when the employer's own posting data names where it can be worked from. We drop a role whose text asks for US residence or a US state licence. The employer's posting is the final word.
- Work type
- Remote
- Role family
- Medical VA / admin
- Employment
- Full-time
- Specialties
- Clinical documentationUM / URCase managementPsych / BehavioralBilling & claimsIntake & verificationPrior authorizationMedical records
About this role
About Sailor Health
Sailor Health is revolutionizing mental health care for older adults, addressing one of the fastest-growing and most underserved healthcare segments in America. With over 60 million seniors expected to make up nearly 25% of the population by 2030, we’re entering a period of unprecedented demand for care. Yet, today, millions of older adults remain isolated, underserved, and struggling with mental health challenges such as anxiety, depression, loneliness without adequate support.
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: Insurance Authorization Specialist (Single Case Agreements & Prior Authorization)
Location: Remote - Philippines only
Monthly pay rate: USD $1,200 (full-time, no other jobs allowed)
Title: Insurance Authorization Specialist (Single Case Agreements & Prior Authorization)
We’re hiring a full-time remote Care Coordinator to focus exclusively on Single Case Agreements (SCAs) and Prior Authorizations (PAs). This is a highly specialized, execution-driven role responsible for ensuring patients can access care by navigating payer requirements quickly, accurately, and persistently.
You will spend the majority of your day working directly with insurance payers, submitting and tracking prior authorizations, negotiating single case agreements, and ensuring all required documentation is complete and compliant. Your work will directly determine how quickly patients can begin care.
This role sits at the intersection of operations, payer strategy, and patient access. It is ideal for someone who is detail-oriented, highly organized, and experienced in working with U.S. healthcare payers.
Experience in at least one of the following is absolutely mandatory:
Single Case Agreements (SCAs)
Prior Authorizations (PAs)
Responsibilities
Own end-to-end execution of Single Case Agreements (SCAs) with insurance payers
Submit, track, and follow up on Prior Authorizations (PAs) to ensure timely approvals
Communicate with insurance companies to resolve issues and move cases forward
Gather and organize clinical documentation required for submissions
Maintain accurate records across internal systems (e.g., EHR, CRM)
Identify and escalate delays, denials, or payer issues proactively
Partner with internal teams (clinical, intake, billing) to ensure seamless patient access to care
Continuously improve workflows to increase speed and approval rates
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.