Key Facts

Remote From:

Part time

English

Hard Skills

Tax Collections Medicare Medicaid Medical Insurance Claims Certification Structure Oversight Committee (CSOC) Computational Tools

Other Skills

•
Detail Oriented
•
Communication

Roles & Responsibilities

5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role.
Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes.
Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines.
Proficiency with billing systems and A/R management platforms.

Requirements:

Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers.
Evaluate AI-generated A/R follow-up recommendations and claim status inquiries for accuracy and effectiveness.
Manage claim status follow-up workflows including electronic inquiries and payer portal follow-up.
Identify and resolve claim payment discrepancies and monitor A/R KPIs.

Job description

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: A/R Follow-up Manager
Type: Contract
Compensation: $75/hour
Location: Remote

Role Responsibilities

Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers. Ensure timely resolution of outstanding claims.
Evaluate AI-generated A/R follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness.
Manage claim status follow-up workflows including electronic claim status inquiries (276/277 EDI), payer portal follow-up, and phone-based resolution.
Prioritize A/R queues by aging bucket, payer, and dollar value to maximize revenue recovery.
Identify and resolve claim payment discrepancies, payer processing errors, and underpayments.
Monitor A/R KPIs including days in A/R, aging bucket distribution, collection rates, and write-off rates.
Develop and implement payer-specific follow-up strategies to accelerate claim resolution.
Ensure compliance with FDCPA, HIPAA, and payer-specific follow-up and timely filing requirements.
Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role.
Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes.
Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines.
Experience prioritizing and managing high-volume A/R queues across multiple payers.
Proficiency with billing systems and A/R management platforms.
Exceptional written and verbal English communication skills.
High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content.

Preferred

CRCR, CPC, or CHFP certification.
Experience with RCM technology platforms featuring automated A/R follow-up capabilities.
Background in multi-payer follow-up operations in hospital or physician group settings.
Familiarity with AI tools and comfort evaluating AI-generated A/R follow-up content.
Experience developing A/R reduction action plans and presenting performance to leadership.

Application Process (Takes 20–30 mins to complete)

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Resources & Support

For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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