Healthcare Admin & Revenue Cycle Expert at Mercor

Healthcare Admin & Revenue Cycle Expert | $50–65/hr | Remote (US, Canada, UK, EU, AU, NZ)

Join a growing initiative to train AI agents on real-world healthcare operations. We're seeking experienced healthcare administrative professionals to design complex scenarios, build supporting records, and author and evaluate tasks rooted in genuine back-office expertise. This is thoughtful authoring and judgment work — not volume processing.

Priority Hiring Areas

• Medical Coding: Inpatient, outpatient, and pro-fee coding; risk adjustment/HCC coding; coding audits
• Prior Authorization & Utilization Management: Submitting and tracking authorizations through payer portals; utilization review and management
• Revenue Cycle Operations: Denials and appeals, A/R follow-up, payment integrity, underpayment recovery, coordination of benefits, and secondary billing

Also In Scope

• Claims and billing; full-cycle medical billing
• Regulatory compliance, HIPAA privacy, and healthcare internal audit
• Payer-side operations: claims adjudication, appeals & grievances, benefit configuration, provider network, utilization management
• Clinical Documentation Integrity (CDI), DRG validation, Health Information Management
• Revenue integrity, charge master (CDM), managed care and reimbursement analysis
• Practice, clinic, and hospital administration; Director/VP of Revenue Cycle roles

Requirements

• 2+ years of recent, hands-on experience in a healthcare administrative or back-office role — and currently active in the field
• Direct experience with payer portals (Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs), EHR/practice management platforms, encoders, or clearinghouses
• Availability of 10+ hours per week

What Makes a Strong Candidate

We prioritize professionals who can construct complex problems — not just process volume. Strong signals include: owning appeals or payer disputes end-to-end, conducting coding or DRG audits, leading EHR conversions or payer implementations, writing SOPs or payer-specific workflow documentation, supervising staff, or serving on denials or audit committees. Senior-level experience and exposure across multiple care settings — or both provider and payer sides — is a significant advantage.

Eligible Settings

Physician groups, ambulatory practices, ASCs, skilled nursing and long-term care, home health and hospice, behavioral health, dialysis, infusion and specialty pharmacy, DME suppliers, FQHCs, health plans and TPAs, RCM outsourcers, and clearinghouses.

Location

Primarily open to candidates in the United States. Also accepting applicants from Canada, the United Kingdom, Ireland, continental Europe, Australia, and New Zealand — working within their own country's insurance and billing systems. US payer knowledge is a plus, not a requirement.

Not In Scope

Clinical care roles (RN, NP, PA, physician, pharmacist), medical technicians, front-desk reception, patient registration, appointment scheduling, call-center scripting, medical scribes, and transcription-only roles.