Claims Processing Manager - Fully Remote | Upto $80/hr

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Medical Billing Manager Type: Contract Compensation: $80/hour Location: Remote Role 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. 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. Annotate AI outputs and provide structured feedback to support AI training datasets . Qualifications Must-Have 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 CPC , CCS , CHFP , or CRCR certification. Experience with automated billing platforms and RCM technology implementations. B