Claims investigator • wilmington nc
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
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
We are answering a call to action to expand our roster - join us as a 1099 Residential or Commercial Field Adjuster!.Minimum 1 year first-party commercial and/or residential property adjusting expe... Show more
Industry Operations Investigator.This position is an entry-level Industry Operations Investigator responsible for conducting investigations and inspections that require knowledge of industry operat... Show more
Doctor of Medicine | Endocrinology.LocumJobsOnline is working with Curative to find a qualified Endocrinology MD in Morehead City, North Carolina, 28557!.Endocrinology Principal Investigator Opport... Show more
Patient Financial Services Supervisor.The Patient Financial Services Supervisor is responsible for the daily supervision of the Patient Financial Services team, ensuring the accuracy of patient acc... Show more
This is for an on-site position at the corporate office located in Wilmington, NC.The Revenue Cycle Manager oversees assigned revenue cycle operations, including billing, claims submission, payment... Show more
Psychologist – Veteran Disability Evaluations (1099, Part-Time).Why This Opportunity Stands Out:.Step away from the demands of traditional clinical practice and enjoy a structured, low-stress envir... Show more
Review AI-generated image captions in English and flag where they do not match the image.You will work through a fixed set of images, reading each caption in full against the image and logging ever... Show more
Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more
Essential Duties and Responsibilities: - Update facility billing information.Request claims and processing payment.Ensure VES payments have been posted.Confirm zero balances on patients' acco... Show more
Dental Office Assistant - Business Assistant.Dental Care at Leland Town Center is looking for a Business Assistant to join our team.Supporting our front office as a Business Assistant, you'll be su... Show more
Plans and conducts independent limited examinations and related investigations of a variety of individual and business taxpayers, or exempt organization, employee plans or government entities invol... Show more
The Guest Services Manager will be responsible for overseeing all aspects of the parking operations including, but not limited to, valet parking operations, maintaining Forbes guest service standar... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Jonathan Calhoun - State Farm Agent is seeking a qualified and empathetic professional for the role of Life Insurance Position - State Farm Agent Team Member.As a customer-oriented expert, you will... Show more
At Towne Park, it's more than a job, you can make an impact.A career with us is rewarding in more ways than one.As a hospitality services company, our commitment is to create smiles by delivering e... Show more
Controller/Secretary-Treasurer.The Controller/Secretary-Treasurer must fairly represent the financial condition of the company, develop controls necessary for the proper conduct of business, mainta... Show more
To serve as a clinical research coordinator during the conduct of clinical research at the investigative site.Works under the direct supervision of the Principal Investigator.Coordinates all activi... Show more
Senior Insurance Solutions Specialist.At Sound Retirement Solutions powered by American Senior Benefits we are dedicated to serving those in need of insurance, especially seniors.We are proudly ind... Show more
The average salary range is between $ 40,373 and $ 70,333 year , with the average salary hovering around $ 50,350 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.
