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Sailor Health

Medicare-covered teletherapy platform for seniors

Insurance Authorization Specialist - Single Case Agreements & Prior Authorization

Full-TimeUpdated on 10/15/2026
$1.2k/mo
Mid
Remote in Philippines
Remote
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • Experience in at least one of the following is mandatory: Single Case Agreements (SCAs) or Prior Authorizations (PAs).
  • Experience working with U.S. healthcare payers.
  • The position is full-time and remote in the Philippines, and no other jobs are allowed.
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, such as EHR and CRM.
  • Identify and escalate delays, denials, or payer issues proactively.
  • Partner with internal clinical, intake, and billing teams to ensure seamless patient access to care.
  • Continuously improve workflows to increase speed and approval rates.

About the company

Sailor Health provides Medicare-covered mental health care for older adults by connecting seniors with licensed geriatric therapists. It is a telehealth platform offering individual, group, and family therapy via phone or video, with therapists matched to patient needs after a consultation. An AI-native platform handles care coordination, real-time clinical insights, and administrative tasks so clinicians can focus on patients; revenue comes from Medicare therapy claims and collections. The company targets reducing loneliness and mental health crises in seniors by improving access to home-based geriatric mental health care and by partnering with home care providers for integrated screenings.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

New York City, New York

Founded

2024

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Simplify Jobs

Simplify's Take

What believers are saying

  • Medicare still covers telehealth therapy in 2026, supporting home-based senior access.
  • Sailor Health markets many patients at $0 copay, reducing senior price resistance.
  • The 2025 Advanced Nursing collaboration creates a referral channel inside Maryland home care.

What critics are saying

  • Medicare policy shifts after December 31, 2027 can crush home-based tele-mental-health economics.
  • Large incumbents like Teladoc and local Medicare providers can copy phone-first senior therapy quickly.
  • If Medicare reimbursement stalls, Sailor Health loses its only clear revenue engine and dies.

What makes Sailor Health unique

  • Sailor Health targets Medicare-covered geriatric therapy across all 50 states in 2026.
  • Its AI-native platform automates documentation, billing, and care coordination for clinicians.
  • The Advanced Nursing & Home Care partnership embeds mental-health screening into home-care workflows.

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Benefits

  • Health Insurance
  • 401(k) Retirement Plan
  • Flexible Work Hours
  • Unlimited Paid Time Off
  • Remote Work Options
  • Paid Vacation
  • Professional Development Budget
  • Conference Attendance Budget
  • Wellness Program
  • Mental Health Support
  • Stock Options
  • Company Equity

Growth & Insights

Headcount

6 month growth

-7%

1 year growth

-1%

2 year growth

-1%