Insurance Verification & Benefit Manager | $105/hr Remote
Overview
Join a high-impact project with a leading AI research lab to shape the next generation of healthcare automation. As an Insurance Verification and Benefits Manager, you'll apply your deep knowledge of payer systems, EDI transactions, and eligibility workflows to evaluate and refine AI tools designed to streamline front-end revenue cycle operations. This fully remote, hourly contract role pays $105 per hour and offers a unique opportunity to influence AI models that aim to reduce claim denials and improve verification accuracy.
What You'll Do8
- 1Lead the oversight of insurance verification, eligibility checks, and benefits investigations across commercial, Medicare, Medicaid, and managed care payers.
- 2Use payer portals, clearinghouses, and EDI 270/271 transactions to confirm patient coverage in real time.
- 3Pinpoint and resolve coordination-of-benefits conflicts, gaps in coverage, and discrepancies in eligibility before service delivery.
- 4Review AI-generated eligibility outputs for accuracy, completeness, and compliance, then provide structured annotations and feedback to improve training data.
- 5Create and maintain standard operating procedures for eligibility and benefits verification workflows.
- 6Track performance metrics like verification accuracy, front-end denial rates tied to eligibility, and turnaround times.
- 7Ensure all processes align with payer-specific rules, CMS guidelines, and HIPAA requirements.
- 8Spot inefficiencies in current workflows and recommend process improvements to minimize eligibility-related denials.
Requirements7
- 1At least five years of hands-on experience in insurance verification, eligibility and benefits management, or front-end revenue cycle work, including two or more years in a supervisory or management capacity.
- 2Expert-level familiarity with EDI 270/271 transactions, navigating payer portals, and using real-time eligibility verification systems.
- 3Strong working knowledge of Medicare, Medicaid, and commercial payer eligibility rules and benefit structures.
- 4Proficiency with Epic, Cerner, Meditech, or other major EHR platforms.
- 5Hands-on experience with clearinghouse solutions like Availity or Change Healthcare.
- 6Excellent written and verbal communication skills in English.
- 7Keen eye for detail, especially when spotting subtle inconsistencies in coverage data.
Who Should Apply
You're a detail-driven revenue cycle expert with a passion for improving healthcare operations. You thrive on untangling complex eligibility issues and have a track record of reducing front-end denials. You're comfortable working with AI tools and providing feedback that directly shapes model performance. Experience with CHAM/CHAA certification, automated verification platforms, or RPA is a plus. You're ready to bring your payer expertise to a cutting-edge AI project.
Salary Insight
$105.00 per hour (hourly contract).
Location
Required Skills
Application Tip
When applying, highlight specific examples of how you've improved verification accuracy or reduced eligibility-related denials in previous roles. Also mention any experience you have with AI tools or evaluating automated outputs — that's a big plus for this position.
Similar open positions
Explore active roles that match your skills and interests.
Mercor
VerifiedMedical Billing Manager | $80/hr Remote
This is a remote, hourly contract opportunity to help build the next generation of AI for healthcare. As a Medical Billing Manager, you'll use your deep expertise in claims processing, payer rules, and EDI to evaluate and train AI systems that automate medical billing. You'll work with a leading AI research lab alongside Mercor, shaping tools that improve first-pass claim acceptance and revenue cycle efficiency. If you're an experienced billing leader who wants to apply your domain knowledge to frontier AI, this is a unique chance to make a real impact.
Mercor
VerifiedUnderpayment & Managed-care Contract Specialist | $85/hr Remote
This remote contract role puts your managed care expertise at the center of an AI research project. You'll evaluate machine-learning tools that detect payment variances and monitor contract compliance, helping healthcare providers recover underpaid claims. Your deep understanding of payer contracts and reimbursement methodologies will directly shape how these AI systems learn and improve. You'll work with a leading AI research lab, using your revenue cycle knowledge to train next-generation models. It's a unique opportunity to apply your domain skills in a fast-moving, tech-forward environment.
Mercor
VerifiedPatient Access Leader | $80/hr Remote
This remote contract role puts your front-end revenue cycle expertise to work shaping next-generation AI for healthcare. You'll evaluate AI outputs on patient access workflows like registration, scheduling, and insurance verification, catching errors and giving structured feedback. Working with a leading AI research lab, you'll help train systems that could transform how hospitals handle patient intake. It's a unique chance to translate your operational knowledge into real AI improvements — at a strong hourly rate.
Aston Carter
VerifiedPatient Access & Prior Authorization Specialist, AI Contact Center
You own the human-in-the-loop role for AI-driven patient access and insurance verification, guiding live calls between healthcare reps and insurance agents. Your work ensures accurate documentation and smooth prior auth across the reimbursement cycle. You collaborate with a team of specialists while training AI systems through real-time inputs. This role stands out by blending healthcare expertise with next-gen AI tools, offering a contract-to-hire remote position in a high-growth environment.
Liberty Orthotics, Inc.
VerifiedMedical Insurance Verification Specialist
We are seeking a highly motivated and detail-oriented Medical Insurance Verification Specialist to join our healthcare team. In this vital role, you will be responsible for verifying patient insurance coverage, obtaining prior authorizations, and ensuring all medical billing and coding procedures align with current healthcare policies. Your expertise will help streamline the patient intake process, reduce claim denials, and enhance overall patient satisfaction. This position offers an exciting opportunity to work in a dynamic healthcare environment where accuracy, efficiency, and excellent customer service are paramount.
Mercor
VerifiedA/R Follow-up Manager | $75/hr Remote
Elion Health is looking for an experienced A/R Follow-Up Manager to help shape next-generation AI tools for healthcare revenue cycle management. In this remote, hourly role, you'll bring your expertise in claim status follow-up, payer collections, and accounts receivable to evaluate and improve AI-generated recommendations. This is a unique opportunity to combine deep revenue cycle knowledge with cutting-edge AI, directly influencing systems that reduce days in A/R and boost revenue recovery. If you're passionate about healthcare operations and want to see your insights drive real change in AI, this role is for you.