Medical Billing Manager at Mercor

Medical Billing Manager | $80/hr | Worldwide Remote

Mercor is partnering with a leading AI research lab to find experienced Medical Billing Managers who will help shape the next generation of AI-powered healthcare billing tools. In this role, you'll evaluate and provide expert feedback on AI-generated billing outputs, directly influencing systems designed to improve first-pass claim acceptance rates and streamline revenue cycle operations.

Key Responsibilities

• Oversee end-to-end medical billing and claims submission 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 requirements.
• Monitor clean claim rates, rejection rates, and first-pass acceptance metrics, 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 rules.
• Manage billing staff workload, productivity, and quality performance metrics.
• Develop and maintain billing SOPs and payer-specific 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 such as Epic, Athenahealth, AdvancedMD, or equivalent.
• 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-specialty 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 organization.
• Gain exposure to cutting-edge AI workflows in medical billing and revenue cycle management.
• Work on high-impact projects shaping the future of healthcare AI.