Claims Processing Expert - Fully Remote | Upto $80/hr

Job Description

Job Description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

• Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
• Evaluate AI-generated billing outputs , claim edits, and coding validations for accuracy and payer compliance.
• Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
• Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
• Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
• Ensure compliance with CMS billing guidelines , HIPAA 837 transaction standards , and payer-specific billing rules.
• Annotate AI outputs and provide structured feedback to support AI training datasets .

Qualifications

Must-Have

• 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
• Deep knowledge of professional fee ( CMS-1500/837P ) and/or facility ( UB-04/837I ) billing requirements.
• Expertise in HIPAA 837 transaction standards , clearinghouse operations, and payer-specific billing rules.
• Strong understanding of Medicare , Medicaid , and commercial payer billing requirements.
• Proficiency with billing platforms ( Epic , Athenahealth , AdvancedMD , or equivalent) and clearinghouse tools.
• Exceptional written and verbal English communication skills.
• High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs .

Preferred

• CPC , CCS , CHFP , or CRCR certification.
• Experience with automated billing platforms and RCM technology implementations.
• Background in multi-specialty physician group, hospital, or health system billing operations.
• Familiarity with AI tools and comfort evaluating AI-generated billing content .
• Experience with payer contract interpretation and billing compliance program management.

Application Process (Takes 20–30 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

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PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.