Talent.com
Mercor
Appeals Manager - Fully Remote | Upto $93/hrMercor • San Francisco, California, United States
Appeals Manager - Fully Remote | Upto $93/hr

Appeals Manager - Fully Remote | Upto $93/hr

Mercor • San Francisco, California, United States
2 days ago
Salary
$93.00 hourly
Job type
  • Part-time
  • Remote
  • Quick Apply
Job description

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: Denials Management & Appeals Manager
Type: Contract
Compensation: $93/hour
Location: Remote

Role Responsibilities

  • Lead denials management and appeals operations. Oversee the identification, categorization, and resolution of claim denials.
  • Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness.
  • Analyze denial trends by payer, denial code (CARC/RARC), and denial category to identify systemic root causes.
  • Develop and manage clinical and technical appeal strategies across multiple payer types.
  • Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives.
  • Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R.
  • Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
  • Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers.
  • Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews.
  • Experience with denial analytics platforms and revenue cycle reporting tools.
  • Proficiency with EHR systems and billing platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content.

Preferred

  • CPC, CCS, CRCR, or CHFP certification.
  • Experience with AI-assisted denial management platforms (e.g., Waystar, Experian Health, Nthrive).
  • Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials.
  • Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content.
  • Experience presenting denial management performance to revenue cycle leadership.

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.

Create a job alert for this search

Appeals Manager - Fully Remote | Upto $93/hr • San Francisco, California, United States

Similar jobs

Benefits Manager - remote

TelecareAlameda, CA, United States
Remote
Full-time

Founded in , Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees.We offer an array of mental health services ... Show more

 • Promoted

Engagement Manager US (Remote)

You.aiSan Francisco, CA, United States
Remote
Full-time

AI-powered search and productivity platform designed to empower users with personalized, efficient, and trustworthy search experiences.As a cutting-edge technology company, we combine advanced AI m... Show more

 • Promoted

Hiring Underwriters | All Experience Levels | Remote, Hybrid, or In-Office (Philadelphia HQ)

ParetoHealthSan Francisco, CA, United States
Remote
Full-time

Hiring Underwriters | All Experience Levels | Remote, Hybrid, or In-Office (Philadelphia HQ).At ParetoHealth, underwriting isn't back-office it's front and center.Our team is the backbone of our m... Show more

 • Promoted

Benefits Manager - remote

Telecare CorporationOakland, CA, United States
Remote
Full-time

DescriptionAt Telecare, we are re-imagining Total Rewards, and we are seeking a Benefits Manager.The Benefits Manager will bring fresh ideas and a problem-solving mindset to enhance our programs in... Show more

 • Promoted

Enterprise Background Screening Sales Hunter(Fully Remote)

Gilder Search GroupSan Francisco, CA, United States
Remote
Full-time

Enterprise Background Screening Sales Hunter(Fully Remote)Are you a tenacious new business hunter with experience selling HR tech solutions to the enterprise? Join the leading background screening ... Show more

 • Promoted

Claims Processing Expert - Fully Remote | Upto $80/hr

MercorSan Francisco, California, United States
$80.00 hourly
Remote
Part-time
Quick Apply

Headquartered in San Francisco, our investors include.Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.Manage claims ... Show more

Employee Relations Specialist - remote

TelecareAlameda, CA, United States
Remote
Full-time

They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live - Client from TelecareWhat You Will Do to Ch... Show more

 • Promoted

Enablement Account Manager - Northern California (CA)

First Connect Insurance ServicesSan Francisco, CA, United States
Full-time

Enablement Account Manager - CA (NorCal).Remote, USA (San Francisco, Sacramento).First Connect Insurance Services is a digital platform providing independent insurance agents access to top US carri... Show more

 • Promoted

Apply for your Dream Job

PendulumSan Francisco, CA, United States
Full-time

Pendulum Job OpportunityPendulum is on a mission to help people improve physical and mental health by creating a new category of products that target the microbiome.We are researching, developing a... Show more

 • Promoted

Regional Talent Acquisition Manager - Southern California 901, remote

TelecareAlameda, CA, United States
Remote
Full-time

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams.Telecare continues to advance cultural dive... Show more

 • Promoted

Sales Director (Remote positions available)

FictivSan Francisco, CA, United States
Remote
Full-time

Job DescriptionJob DescriptionFictiv Exists to Enable Hardware Innovators to Build Better Products, FasterFictiv, coined the AWS of manufacturing, is a leading technology company transforming the $... Show more

 • Promoted

Recruiting Manager (Remote)

Talnt LLCSan Francisco, CA, United States
Remote
Full-time

San Francisco, California, United States.We are seeking a Recruiting Manager to oversee and drive the recruitment function, ensuring the successful delivery of high-quality talent across diverse ro... Show more

 • Promoted

Associate Account Manager - Remote

Atomic HRSan Francisco, California, United States
Remote
Full-time
Quick Apply

Associate Account Strategist / Account Manager.This isn't a passive support role, you'll work directly alongside senior strategists, support real client accounts from day one, and build the skills ... Show more

Employee Benefits Account Manager - Agency / Broker - REMOTE

Work At Home Vintage ExpertsSan Francisco, CA, United States
Remote
Full-time +2

OverviewPut your Insurance Experience to work - FROM HOME!At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offerin... Show more

 • Promoted

Onboarding Specialist - Fully Remote | Upto $120/hr

MercorSan Francisco, California, United States
Remote
Part-time
Quick Apply

Headquartered in San Francisco, our investors include.Training / onboarding / L&D Evaluator.Identify factual, aesthetic, and presentation errors in.Provide clear, structured written feedback to... Show more

User Acquisition Manager

Bellota LabsRedwood City, CA, United States
Full-time

At Bellota Labs, we are a fast-paced, hypergrowth startup building the future of competitive gaming through ClubWPT Gold, a groundbreaking product from the World Poker Tour.Fueled by innovation, cr... Show more

 • Promoted

Apply here!

BBR PartnersSan Francisco, CA, United States
Full-time

BBR Partners is a boutique wealth management firm providing customized investment strategies and bespoke advice to high-net-worth individuals and families.Our clients are comprised of the brightest... Show more

 • Promoted

Senior Recruiting Operations Manager - Bay Area (Remote)

TeleportSan Francisco, CA, United States
Remote
Full-time

Senior Recruiting Operations ManagerWe help companies stay secure while moving fast.The Teleport Access Platform delivers on-demand, least privileged access to infrastructure based on cryptographic... Show more