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.
Remote Medical Billing Manager - AI Trainer ($80-$80 per hour) • Charlotte, North Carolina, US
Clinical Manager, Home Health Nursing - 9.As a Clinical Manager at CenterWell Home Health, reporting to the Branch Director, you will lead and support a team of dedicated clinicians who deliver com... Show more
Medical / Administrative Assistant - Part-time.Promotes a professional patient-centered practice image by efficiently performing a wide variety of clinical and/or administrative duties to medical o... Show more
CMA/RMA - Certified Medical Assistant/Registered Medical Assistant.Job Type: PRN and Part-Time Opportunities.This position starts out as a float between multiple offices.It is not always steady at ... Show more
The RN Director of Med Surg/Telemetry is a key clinical leader responsible for directing and coordinating nursing operations, patient care delivery, and staff management across assigned inpatient m... Show more
ELIGIBLE FOR $1000 SIGN ON BONUS.The Clinical Medical Assistant provides direct patient care and clinical support to providers in a fast-paced outpatient medical practice.This position performs cli... Show more
A leading lab equipment manufacturer is seeking a Laboratory Product Marketing Manager to oversee the sustainable development of lab equipment product lines.This role involves standardizing product... Show more
HIRE-IQ is recruiting a full-time Sales Manager for a well-established medical device company.The Sales Manager will build and maintain strong relationships with surgeons, hospital administrators, ... Show more
Nightingale Nurses is seeking a travel nurse RN Telemetry for a travel nursing job in Rock Hill, South Carolina.Job Description & Requirements Specialty:Telemetry Discipline:RN Start Date:03/21... Show more
Provides general medical care under the direction of a licensed provider to patients in an outpatient clinic setting.This position works directly with a franchised business location.The specific jo... Show more
Billing SpecialistThe Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denia... Show more
Stability Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in Rock Hill, South Carolina.Job Description & Requirements Specialty:Telemetry Discipline:RN Duration:13 we... Show more
Deloitte is committed to providing reasonable accommodations for people with disabilities.If you require a reasonable accommodation to participate in the recruiting process, please direct your inqu... Show more
Fusion Medical Staffing-Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Rock Hill, South Carolina.Job Description & Requirements Specialty:Telemetry Discipline:RN Sta... Show more
Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more
We are urgently seeking people interested in taking market research studies for well known brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Ear... Show more
Certified Medical Office Assistant.ELIGIBLE FOR $1000 SIGN-ON BONUS.The Certified Medical Office Assistant is responsible for assisting in the direct delivery of primary health care support and pat... Show more
ADEX Healthcare Staffing LLC is seeking a travel nurse RN CVOR for a travel nursing job in Rock Hill, South Carolina.Job Description & Requirements Specialty:CVOR Discipline:RN Start Date:03/30... Show more
Role summary: Responsible for gathering, documenting, and ultimately getting approval for business requirements, functional/non-functional requirements, and use cases.Must Haves Skills / Technolog... Show more
Job Opportunity At Any Lab Test Now.Any Lab Test Now is a leading provider of direct-access lab testing services, allowing individuals to take control of their health by conveniently and affordably... Show more
Adoration Home Health is seeking a passionate, dedicated Home Health Clinical Manager to join our team in Charlotte, NC.In this vital leadership role, you'll oversee high-quality, patient-centered ... Show more
