Claim examiner • centennial co
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more
Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Customer Service Representative - State Farm Agent Team Member.We seek an energetic profes... Show more
My team's mission is to help people manage the risks of everyday life, recover from the unexpected and realize their dreams.We are located in Littleton, CO and help customers with their insurance a... Show more
Workers' Compensation Claim Specialist.Location: Greenwood Village, CO Schedule: 8:00am - 4:30pm (MST) - Some flexibility, and Hybrid schedule after initial training period (6 weeks).Salary Range: ... Show more
You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more
We are seeking a skilled and board-certified Family Medicine or Internal Medicine physician to join our team in Littleton, CO for an Independent Medical Examination (IME).Thoroughly review and anal... Show more
Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructur... Show more
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Senior Default Claims Specialist.Cornerstone Servicing, a division of Cornerstone Capital Bank, is a best-in-class mortgage servicer with a reputation for amazing service, customer satisfaction, em... Show more
Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more
Alliant Insurance Services Job Opportunity.Alliant Insurance Services is one of the nation's largest and fastest-growing insurance brokerage and consulting firms.We operate through a network of spe... Show more
Exciting Opportunity for Nurse Practitioners – Full-Time available.AM - 6:00 PM, (Monday – Thursday).Health, Dental, and Vision insurance options available for eligible employees.Be part of a ... Show more
Medical Biller – Full-Time Department:.Revenue Cycle / Billing Employment Type:  Full-Time Reports To:  Lead Biller / Operations Leadership Company:  Power Health Colorado (PHC... Show more
As Account Associate - State Farm Agent Team Member for David Trudell - State Farm Agent, you are vital to our daily business operations and customers’ success.You grow our agency through meaningfu... Show more
On-Call and At-Will equal Flexibility! You will choose the days and hours you wish to work and the areas you wish to work in.You manage your calendar of availability.You will be responsible for col... Show more
Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more
Senior Claims Representative - REMOTE.The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability pr... Show more
Join the Lockheed Martin EBDT organization that is driven by speed, agility, and technical innovation.We are seeking an individual who is passionate, resourceful, and tactical to work as part of a ... Show more
The average salary range is between $ 40,387 and $ 91,289 year , with the average salary hovering around $ 56,396 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Billing and Claims Managers to support the evaluation of AI tools designed to automate and improve medical billing and claims submission workflows. Your expertise in claims processing, payer requirements, EDI transactions, and billing compliance will directly inform AI systems that improve first-pass claim acceptance rates and accelerate revenue cycle performance. **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 and 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. - Manage billing staff workload, productivity, and quality performance metrics. - Develop and maintain billing SOPs and payer-specific billing reference guides. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 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 Qualifications** - CPC, CCS, CHFP, or CRCR certification. - Experience with automated billing platforms and RCM technology implementations. - Background in multi-speciality 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. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in medical billing and revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
