Talent.com
Mercor
Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)Mercor • College Station, Texas, US
Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

Mercor • College Station, Texas, US
30+ days ago
Salary
$70.00 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 Denials Management and Appeals Managers to evaluate AI tools designed to automate denial prevention, appeal writing, and root cause analysis workflows. Your expertise in payer denial patterns, clinical and technical appeals, and denial management analytics will directly inform AI systems that reduce denial rates and maximise revenue recovery. **Responsibilities** - Lead denials management and appeals operations, overseeing the identification, categorisation, and resolution of claim denials. - Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness. - Analyse 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. - Manage the appeals calendar to ensure timely submission within payer and regulatory deadlines. - Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 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 Qualifications** - 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. **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 denials management and revenue cycle. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
Create a job alert for this search

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour) • College Station, Texas, US

Similar jobs

Remote Research Panel Participant

GL IncBryan, Texas
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Travel MRI Tech - $2221.33 / Week

Preferred Healthcare StaffingCollege Station, TX, US
Full-time

Preferred Healthcare Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in College Station, TX.Shift: 8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2221.Travel MRI ... Show more

 • Promoted

Market Research Participant

GL IncBryan, Texas
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Consumer Opinion Research Participant

GL IncBryan, Texas
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Travel MRI Tech - $2504.62 / Week

Pulse Healthcare ServicesCollege Station, TX, US
Full-time

Pulse Healthcare Services is seeking an experienced MRI Tech for an exciting Travel Allied job in College Station, TX.Shift: 5x8 hr days Start Date: ASAP Duration: 12 weeks Pay: $2504.About Pulse H... Show more

 • Promoted

Remote Consumer Insights Participant

GL IncBryan, Texas
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Online Consumer Research Participant

GL IncCollege Station, Texas
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Travel MRI Tech - $2355.77 / Week

Host HealthcareCollege Station, TX, US
Full-time

Host Healthcare is seeking an experienced MRI Tech for an exciting Travel Allied job in College Station, TX.Shift: Inquire Start Date: 09/07/2026 Duration: 12 weeks Pay: $2355.At Host Healthcare, w... Show more

 • Promoted

Travel MRI Tech - $2327.12 / Week

Medical SolutionsCollege Station, TX, US
Full-time

Medical Solutions is seeking an experienced MRI Tech for an exciting Travel Allied job in College Station, TX.Shift: 8 hr days Start Date: 09/07/2026 Duration: 12 weeks Pay: $2327.A facility in Col... Show more

 • Promoted

Remote Consumer Research Participant

GL IncCollege Station, Texas
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Travel MRI Tech - $2262 / Week

Ventura MedStaffCollege Station, TX, US
Full-time

Ventura MedStaff is seeking an experienced MRI Tech for an exciting Travel Allied job in College Station, TX.Shift: 5x8 hr days Start Date: 09/07/2026 Duration: 12 weeks Pay: $2262 / Week.Founded i... Show more

 • Promoted

Remote Biology Expert

Micro1College Station, Texas, US
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

 • Promoted

Market Research Associate - No Experience

Clubshop | USCollege Station, Texas
Full-time

Discover The System Surveoo That’s Helping Newbies Earn Daily.Turn your free time into daily earnings by answering simple surveys.No product or tech skills needed.Join For Free And Start Earn... Show more

Consumer Research Associate (Remote)

GL IncBryan, Texas
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Physics Expert

Micro1College Station, Texas, US
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

 • Promoted

Remote Product Tester - No Experience

OCPABryan, Texas, US
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersCollege Station, TX
Remote
Full-time

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

 • Promoted

Remote Market Research Participant – Up to $90/Session – No Experience Required

Occupons QuebecNorth Brian, NE, United States
Remote
Full-time

Compensation: $45–$90 per completed task.The Consumer Insights Division of our organization is expanding its nationwide research team.We are seeking dependable individuals to support ongoing studie... Show more

 • Promoted

Earn up to $400 per Day by Playing Games and TakingSurveys

Freecash.comBryan, Texas, United States
Full-time

Since its launch 6 years ago, over 60MN users have earned and withdrawn over $250MN! The platform is rated 4.TrustPilot with over 230k+ reviews, establishing Freecash as one of the highest-rated op... Show more

 • Promoted

Work from home - Market Research Study

Earn HausCollege Station, Texas, United States
Remote
Full-time +1

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