Insurance Verification Manager - Expert
$105 per hourMercor
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: Insurance Verification & Benefit Manager
Type: Contract
Compensation: $105/hour
Location: Remote
Role Responsibilities
- Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers.
- Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions.
- Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery.
- Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance.
- Develop and document SOPs for eligibility and benefits verification workflows.
- Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times.
- Ensure compliance with payer-specific requirements, CMS guidelines , and HIPAA regulations .
- Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials.
- Provide structured feedback and annotations to support AI training datasets .
Qualifications
Must-Have
- 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role.
- Expert knowledge of EDI 270/271 transactions , payer portal navigation, and real-time eligibility tools.
- Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures.
- Proficiency with Epic , Cerner , Meditech , or equivalent EHR platforms .
- Experience with clearinghouse platforms such as Availity , Change Healthcare , or similar.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify subtle discrepancies in coverage data.
Preferred
- CHAM , CHAA , or equivalent front-end revenue cycle certification.
- Experience with automated eligibility verification tools and RPA solutions .
- Background in denial root cause analysis related to eligibility and coverage errors.
- Familiarity with AI tools and comfort evaluating AI-generated healthcare content.
- Experience presenting eligibility performance data to senior leadership.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check:
- For any help or support, reach out to: View email address on us.fitly.work
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Insurance Verification Manager - Expert in San Francisco, CA vacancy
$80 - $140 per hour
...Summers , and Jack Dorsey . Position: Research Physics Expert Type: Contract Compensation: $80–$140/hour Location... ...reasoning, error tolerances, equivalent symbolic forms, and verification test cases. Qualifications Must-Have ~ PhD or postdoc...SuggestedContract workSummer workRemote workMercor
San Francisco, CA10 days ago$80 per hour
...registration error rates, pre-registration completion rates, insurance verification accuracy, and front-end denial rates. Collaborate with... ...patient access, patient registration, or front-end revenue cycle management, with at least 2 years in a manager or director-level role...SuggestedContract workSummer workRemote workMercor
San Francisco, CA5 days ago$110 per hour
...problems used to train and evaluate frontier AI models . Evaluate model outputs on tasks ranging from proof construction and verification to problem-solving, formalization, and conjecture exploration. Surface areas where current models fail, identifying subtle...SuggestedContract workPart timeSummer workImmediate startRemote workMercor
San Francisco, CA12 days ago$120 - $175 per hour
...Larry Summers , and Jack Dorsey . Position: CNC Machining Expert Type: Contract Compensation: $120–$175/hour... ...across provided CAD models and machining context. Write clear verification rationale for each criterion to ensure transparency and accuracy...SuggestedContract workSummer workRemote workMercor
San Francisco, CA13 days ago$124k - $156k
...and coordination between infrastructure managers and train operators. Demonstrated... .... Health & Wellness Benefits: Medical Insurance: Multiple options - Low to High Deductible... ...complete the required employment eligibility verification form upon hire. --- Quick overview of...SuggestedFull timeTemporary workLocal areaFlexible hoursNight shift$147k - $236k
...passionate, intelligent individuals, growing as an expert while expanding your knowledge. For the latest... ...accessible for all. We’re searching for a Assistant Risk Manager. Reporting to the Sr. Director, Business Risk & Insurance, the Assistant Risk Manager (Insurance Focus) is...Work at officeLocal area3 days per week- ...Surgery Scheduler/Insurance Verification SpecialistWe are a modern, state of the art outpatient surgery center located in the heart of San Francisco. We are in search of a Surgery Scheduler/Insurance Verification Specialist.ResponsibilitiesOpens the Front Office of the...Work at office
Hayes Valley Surgery Center
San Francisco, CA22 hours ago $99k - $266k
...for coaching, leveraging team member’s unique strengths, and managing performance to deliver on client expectations. With your growing... ...chance to develop significant specialization in international insurance tax, while embracing technology and innovation to enhance...Full timeH1b$200.3k - $290.45k
...corporate compliance, third-party risk management, supplier due diligence, or related disciplines... ...Group consists of senior domain experts with backgrounds in industry, consulting... ...opportunities, life, disability, and accident insurance, a discounted employee stock purchase...Full time- Hayes Valley Surgery Center is a modern outpatient surgery facility in San Francisco seeking a Surgery Scheduler/Insurance Verification Specialist. You will manage front desk operations, greet patients and staff, perform insurance verifications, and enter data in the EMR...Work at office
$86.25k - $172.5k
...with their recruiter and hiring manager to understand workplace... ...structuring. Serves as subject matter expert for certain asset classes.... ...Others, Credit Analysis and Verification, Decision Making and Critical... ...and spouse/child life insurance; short and long-term disability...Full timeTemporary workPart timeWork experience placementWork at office$104.8k - $192.3k
...Austin, Tallahassee, Philadelphia, San Francisco EY's Forensics Insurance and Federal Claims Services practice specializes in helping... ...background in commercial claims adjusting to join our practice as a Manager. This role is ideal for a property, business interruption,...Summer holidayWork at officeFlexible hours$224.3k
General Information Job Title Expert Manager, Product Management & Innovation Job ID 107751 Work Areas Product Management... ...leave, sick leave and paid holidaysFully vested 401(k) company contributionPaid Life and Long-Term Disability insurance Go backPermanent employmentFull timeWork at officeLocal areaHome office3 days per week$29 - $45 per hour
...investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: AI Safety Experts — English & Portuguese (global) Type: Contract Compensation: $29–$45/hour Location: Remote Role Responsibilities Red team...Contract workSummer workRemote workMercor Inc
San Francisco, CA4 days ago$60k - $74k
...sleep well so they live well is at the core of what we do. The right mattress matters, and so does the right career. Our Sleep Experts® are at the heart of what we do: helping customers find their dream mattress and get better sleep. By joining our team, you'll get...Local areaMattress Firm
Daly City, CA4 days ago$50 per hour
...projects with leading LLM companies. Pay rate: 50+/hour (depends on role and candidate expertise). Assessment: Shortlisted experts complete an evaluation before selection. Assignments: Contract roles with defined start/end dates; up to 40 hrs/week. About...Contract workRemote workFlexible hoursTuring
San Francisco, CA2 days ago$60k - $74k
...sleep well so they live well is at the core of what we do. The right mattress matters, and so does the right career. Our Sleep Experts® are at the heart of what we do: helping customers find their dream mattress and get better sleep. By joining our team, you'll get...Local areaMattress Firm
San Francisco, CA3 days ago$115k - $125k
...About the Role Hex is growing fast; we are hiring a Product Expert to nurture and support customers to make them successful with Hex. Our focus is on building a valuable product that users love, and all your work will feed into that. Our users are "analytically technical...Work at officeFlexible hours2 days per weekHEX
San Francisco, CA4 days ago$261k - $290k
...creating a dedicated Director role as a GitHub Subject Matter Expert (SME) — the accountable owner who turns that momentum into results... ...-related expenses, as well as discounted home, auto, and pet insurance.Slalom is committed to fair and equitable compensation practices...Temporary workLocal area- ...Sales And Service Expert The Sales And Service Expert (SSE) delivers an outstanding and well-rounded sales and service experience... ...local and global marketing campaigns to leads and members. Manages and follows up on leads/new business by using a Lead Management...Work experience placementWork at officeLocal area
$85k - $100k
...Interior Define Design Expert Interior Define, part of the Havenly Brands family, is reimagining the furniture shopping experienceoffering... ...a consultative selling approach. Organized & Efficient: You manage multiple clients and projects efficiently, ensuring timelines...Full timeLocal areaFlexible hoursWeekend work- Clinical Specialist Are you looking for a unique and exciting opportunity to join a growing division at a blue chip medical device manufacturer? We are currently seeking a Clinical Specialist to join our team and help spearhead clinical trials for a revolutionary new...
$7,200 per month
...Sr Mobile Expert At T-Mobile, we invest in YOU! Our Total Rewards Package ensures that... ...(Required) Sales (Required) Task Management (Required) Teamwork Orientation (Required... ..., offering medical, dental and vision insurance, a flexible spending account, 401(k), employee...Hourly payFull timeTemporary workPart timeWork experience placementLocal areaFlexible hours$27 - $35 per hour
...Diamond Sales Expert VRAI is one of the fastest-growing digital-first direct-to-consumer... ...of virtual and in-person appointments, managing your lead pipeline, and nurturing/... ...benefit programs, generally including health insurance, flexible spending accounts, retirement...Local areaRemote workFlexible hoursWeekend work$100 per hour
...Summers , and Jack Dorsey . Position: Corporate Development Expert Type: Contract Compensation: $85–$100/hour... ...consideration economics. Produce process and board materials, including management presentations, data packs, buyer universes, board and committee...Contract workSummer workRemote workMercor
San Francisco, CA7 days ago$70 - $100 per hour
...Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Computational Chemistry & Electronic Structure Expert Type: Contract Compensation: $70–$100/hour Location: Remote Commitment: 15–20 hours/week Role...Contract workSummer workRemote workMercor
San Francisco, CA10 days ago- ...Job Description Job Description Developer & Infrastructure Expert Role Type: Contractor Location: Remote Job Overview We... ...tools. Experience with developer workflow and project management platforms such as GitHub, GitLab, Azure DevOps, and JIRA. Experience...For contractorsRemote work
YO AI Labs
San Francisco, CA5 days ago $130 - $180 per hour
...Summers , and Jack Dorsey . Position: Hematology / Oncology Expert Type: Contract Compensation: $130–$180/hour... ...practice, including staging, treatment selection, and toxicity management. Write "golden" reference responses at attending-level quality...Weekly payContract workSummer workWork at officeRemote workMercor
San Francisco, CA12 days ago- ...Job Description Job Description Mathematics Expert Job Type: Contractor Location: Remote Job Overview We are seeking experienced Mathematics Experts to support an AI-focused project involving advanced mathematical reasoning, problem-solving, and proof...For contractorsRemote work
YO AI Labs
San Francisco, CA5 days ago - ...Job Description Job Description Design Expert Job Type: Contractor Location: Remote Schedule: Flexible / Self-Directed Job Overview We are seeking senior Product Design and AI-Assisted Development Experts to create evaluation tasks for AI systems working...Weekly payContract workFor contractorsRemote workFlexible hours
YO AI Labs
San Francisco, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Insurance Verification Manager - Expert. Be the first to apply!
Related searches
- health insurance manager San Francisco, CA
- insurance case manager work from home San Francisco, CA
- insurance supervisor San Francisco, CA
- finance and insurance manager San Francisco, CA
- medical insurance manager San Francisco, CA
- insurance manager San Francisco, CA
- subject matter expert San Francisco, CA
- fulfillment expert San Francisco, CA
- guest service support expert San Francisco, CA
- technology expert San Francisco, CA