Appeals Manager - Fully Remote | Upto $93/hr
# Appeals Manager - Fully Remote | Upto $93/hr **mercor** · United States · `Remote` · `Contractor` 💼 **Уровень роли:** `Manager` 💰 **Компенсация:** `$70 – $93` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Appeals-Manager]` `[Denials-Management]` `[Revenue-Cycle-Management]` `[Healthcare-Administration]` `[Medical-Billing]` `[Appeals-Management]` --- ### About the Role 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: Denials Management & Appeals Manager Type: Contract Compensation: $70–$93/hour Location: Remote Role Responsibilities - Lead denials management and appeals operations. Oversee identification, categorization, and resolution of claim denials. - Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness. - Analyze denial trends by payer, denial code ( CARC/RARC ), and denial category to identify systemic root causes. - Develop and manage clinical and technical appeal strategies across multiple payer types. - Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives. - Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R. - Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines. - Annotate AI outputs and provide structured feedback to support AI training datasets . Qualifications Must-Have - 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role. - Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers. - Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews. - Experience with denial analytics platforms and revenue cycle reporting tools. - Proficiency with EHR systems and billing platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content. Preferred - CPC , CCS , CRCR , or CHFP certification . - Experience with AI-assisted denial management platforms (e.g., Waystar , Experian Health , Nthrive ). - Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials. - Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content. - Experience presenting denial management performance to revenue cycle leadership. Application Process (Takes 20–30 mins to complete) - Upload resume - AI interview based on your resume - Submit form Resources & Support - For details about the interview process and platform information, please check: - For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. Originally posted on Himalayas
- Appeals-Manager
- Denials-Management
- Revenue-Cycle-Management
- Healthcare-Administration
- Medical-Billing
- Appeals-Management
Наблюдалась 2026-10-02, впервые 2026-10-02, источник — Himalayas (JSON API).