Medical Billing Manager
Mercor • Remote
Education
Any
Type
hourly
Pay Rate
$80/hr
Listed
34d ago
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About this Role
From the Mercor listing
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.
Requirements
- Must be eligible to work in Remote
- Fluent proficiency in English (Written & Verbal)
- Reliable high-speed internet connection
- Bachelor's degree or equivalent professional experience
- Demonstrated expertise in Business
Eligible Languages
Fluent proficiency in English
Why This Role
Geography stops mattering here. This remote Medical Billing Manager opportunity pays $80/hr regardless of where you're based, making it a solid entry point into Business work without needing to relocate.
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Frequently Asked Questions
Is Mercor for freelancers or full-time contractors?
Mercor places you with one client for a defined engagement, like 'Python Tutor for 3 months', rather than having you grab small tasks from a shared queue. Most roles function as steady contract work, not one-off gigs.
Does Mercor's application require an on-camera interview?
Yes, every applicant records a video interview with an AI interviewer that asks questions about your resume. Clients review that recording to judge communication skills before matching, so there's no way to apply without going on camera.
Does it cost money to apply to Mercor?
No, applying and joining Mercor is free. Mercor's revenue comes from a fee it charges the client on top of your hourly rate, not from applicants. Treat any request for payment to join as a red flag.
What does task-based AI training work actually look like?
Practical, hands-on data work: recording short videos, categorizing images, rating text responses, or analyzing data. Tasks are designed to be short and distinct, typically 5 to 60 minutes each.
What does asynchronous AI training work mean in practice?
No set hours, no check-ins, no meetings. You log in when you want, pick up an available task, complete it, and submit; nobody is waiting on you in real time. That's different from remote employment, where you're expected online during business hours. The tradeoff: you're competing with others for available tasks, so an empty queue means there's simply nothing to do until more work is released.
What does Business work look like for a Medical Billing Manager?
Tasks here are scoped to Business, not generic labeling. As a Medical Billing Manager, expect to draw on real domain judgment (evaluating outputs, correcting errors, or providing expert reasoning specific to Business) rather than following a one-size-fits-all rubric. If you don't have hands-on Business background, this is likely not the right listing to start with.
Do I need to be fluent in English?
Yes. This role specifically requires English proficiency. You will likely be evaluated on written fluency during the assessment, not just conversational level. If English is not your first language or you are not professionally fluent, this is not the right role. Filter for your native language to find better-matched listings.
What happens when I click Apply on this listing?
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How soon will I start working after applying to Mercor?
Not immediately. Mercor is a talent marketplace, not a task queue, so applying puts you in a pool of candidates. You start working only once a specific client, like a major AI lab, selects your profile, and that matching process can take weeks.