Medical Billing Manager | $80/hr Remote
Overview
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.
What You'll Do9
- 1Direct the full billing and claims lifecycle for professional and/or facility billing operations, ensuring accurate and timely submissions.
- 2Review AI-generated billing outputs, claim edits, and coding validations for accuracy, payer compliance, and regulatory alignment.
- 3Optimize claim submission workflows, including electronic file generation, clearinghouse pre-submission checks, and payer-specific billing requirements.
- 4Track key performance indicators like clean claim rates, rejection rates, and first-pass acceptance, then create strategies to improve them.
- 5Partner with coding, CDI, and collections teams to resolve edits and rejections quickly and accurately.
- 6Maintain compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific rules.
- 7Supervise billing staff productivity, workload distribution, and quality performance metrics.
- 8Create and update billing standard operating procedures and payer-specific reference guides.
- 9Annotate AI outputs and provide structured feedback to improve AI training datasets.
Requirements8
- 1At least 5 years in medical billing and claims management, with 2+ years in a leadership or management role.
- 2Expert knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing workflows.
- 3Deep understanding of HIPAA 837 transaction standards, clearinghouse operations, and payer-specific rules.
- 4Solid grasp of Medicare, Medicaid, and commercial payer billing requirements.
- 5Hands-on experience with billing systems like Epic, Athenahealth, AdvancedMD, or comparable platforms, plus clearinghouse tools.
- 6Excellent written and verbal English communication skills, with a sharp eye for detail and the ability to identify billing errors and compliance issues in AI-generated content.
- 7A certification like CPC, CCS, CHFP, or CRCR is a strong plus.
- 8Experience evaluating AI-generated content or working with RCM technology implementations is highly desirable.
Who Should Apply
We're looking for a meticulous billing professional who enjoys both hands-on claims management and strategic process improvement. You should feel comfortable assessing AI-generated outputs and giving clear, structured feedback. You thrive in a remote, fast-moving environment and want to apply your knowledge of payer requirements, EDI, and compliance to help build AI systems that transform healthcare revenue cycle management.
Salary Insight
The position pays $80.00 per hour.
Location
Required Skills
Application Tip
In your application, describe a time you improved a billing process or increased first-pass claim acceptance rates — and mention any experience you have with AI or machine learning tools, even if it's just curiosity.
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