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Claim examiner Jobs in San Mateo, CA

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Claim examiner • san mateo ca

Last updated: 4 days ago

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorSan Mateo, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Remote Patient Access Leader - AI Trainer ($80-$80 per hour)

MercorSouth San Francisco, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Patient Access leaders to support the evaluation and improvemen... Show more

Manager, Major Case Unit

FCCI Insurance Groupundefined null, US
Full-time

At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.W... Show more

Manager, Global Sanctions

StripeSouth San Francisco, CA, United States
$173,600.00 yearly
Full-time

Stripe is a financial infrastructure platform for businesses.Millions of companies - from the world's largest enterprises to the most ambitious startups - use Stripe to accept payments, grow their ... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorSan Mateo, California, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

RCM/Billing Working Managaer

MedHQSan Mateo, CA, United States
Full-time

MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare.MedHQ serves Physician Practices, Ambulatory Surgery Centers (ASCs), H... Show more

Remote Psychiatry Expert - AI Trainer ($150-$150 per hour)

MercorSan Bruno, California, US
Remote
Full-time

Psychiatrist** Mercor is seeking board-certified psychiatrists for a project with one of the world's top AI labs.We welcome applications from psychiatrists across all practice settings, with partic... Show more

Director of Internal Audit

RingCentralBelmont, California
Full-time

If you’re looking to be part of what’s next in communication, you’re in the right place.At RingCentral, we believe the best customer experiences happen when humans and AI work together.Our agentic ... Show more

Reimbursement Counselor

MMC GroupSan Bruno, CA, US
$19.50 hourly
Full-time

Reimbursement Coordinator San Bruno, CA $19.HR Hours: 7:00 AM - 4:00 PM Monday - Friday POSITION SUMMARY: Under the general supervision of the Reimbursement Supervisor / Manager, is responsib... Show more

Medical Biller

MedHQ, LLCSan Mateo, CA, US
$24.00 hourly
Full-time
Quick Apply

About the Opportunity Are you a meticulous Medical Biller who takes pride in accuracy, organization, and efficiency?.Do you thrive in a fast-paced environment where your expertise directly impacts ... Show more

Insurance Staff Position - State Farm Agent Team Member

Craig Ichiuji - State Farm AgentSan Mateo, CA, US
$18.60 hourly
Full-time

Looking for a part-to-full time job that provides meaningful work and competitive compensation? Consider a position in a State Farm Agent's office in downtown San Mateo.Establish customer relations... Show more

PT Passenger Service Agent

ABM IndustriesSouth San Francisco, CA, US
$22.04 hourly
Part-time

The PT Airline Passenger Service Agent is a multi-functional, cross-utilized position designed to support airport operations and passenger services.Employees may be assigned to perform duties in th... Show more

Operations Business Analyst-(Data Reporting)Hybrid-San Bruno,CA

KaavSan Bruno, CA, United States
Full-time

Analyst, Intellectual Property & Anti-Counterfeit (eCommerce Compliance).Client's eCommerce Compliance Department is responsible for defining, enforcing, and promoting policies, programs, and produ... Show more

Director of Internal Audit

RingCentralBelmont, CA, United States
Full-time

Reporting to the VP of Internal Audit, the Director of Internal Audit will lead the evolution of our global audit function, moving beyond traditional compliance to become a strategic advisor for ou... Show more

Government Revenue Cycle Accounts Receivable

TridentCareundefined null, US
Full-time

Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.Access client files and payer websites if necessary to verify information.Provide timely re... Show more

Associate Pharmacy Benefit Consultant

Rael & LetsonSan Mateo, CA, United States
Full-time

Associate Pharmacy Benefit Consultant.Rael & Letson is an independent employee benefits consulting and actuarial services firm.We serve as a trusted advisor to multiemployer and other retirement an... Show more

Account Associate - State Farm Agent Team Member

Brandon Yim - State Farm AgentBurlingame, CA, US
$80,000.00 yearly
Full-time

Our agency opened in 2020 and is a close-knit team of four focused on steady growth and strong customer relationships.I’m a second-generation State Farm agent with a background in finance, bringing... Show more

Customer Service Representative - State Farm Agent Team Member

Carlos Marron - State Farm AgentRedwood City, CA, US
$27.00 hourly
Full-time

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

Operations Business Analyst | (Ecommerce) | San Bruno,CA

SamprasoftSan Bruno, CA, United States
Full-time

The Trust & Safety (T&S) Group within Client Global Ecommerce is responsible for defining, enforcing, and promoting policies, programs, and products to ensure safe transactions and maintain trust a... Show more

Claims Appraiser - Auto Estimatics

State FarmSan Mateo, CA, United States
$78,862.06 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

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Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorSan Mateo, California, US
30+ days ago
Salary
$75.00 hourly
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automate accounts receivable follow-up and payer collections workflows. Your expertise in claim status follow-up, payer correspondence, and A/R management will directly inform AI systems that reduce days in accounts receivable and improve revenue recovery. **Responsibilities** - Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers, ensuring timely resolution of outstanding claims. - Evaluate AI-generated A/R follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness. - Manage claim status follow-up workflows including electronic claim status inquiries (276/277 EDI), payer portal follow-up, and phone-based resolution. - Prioritise A/R queues by ageing bucket, payer, and dollar value to maximise revenue recovery. - Identify and resolve claim payment discrepancies, payer processing errors, and underpayments. - Monitor A/R KPIs including days in A/R, ageing bucket distribution, collection rates, and write-off rates. - Develop and implement payer-specific follow-up strategies to accelerate claim resolution. - Ensure compliance with FDCPA, HIPAA, and payer-specific follow-up and timely filing requirements. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role. - Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes. - Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines. - Experience prioritising and managing high-volume A/R queues across multiple payers. - Proficiency with billing systems and A/R management platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content. **Preferred Qualifications** - CRCR, CPC, or CHFP certification. - Experience with RCM technology platforms featuring automated A/R follow-up capabilities. - Background in multi-payer follow-up operations in hospital or physician group settings. - Familiarity with AI tools and comfort evaluating AI-generated A/R follow-up content. - Experience developing A/R reduction action plans and presenting performance to leadership. **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 accounts receivable and revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.