CLAIMS PROCESSING MANAGER - FULLY REMOTE | UPTO $80/HR

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 • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.