Healthcare Operations & Revenue Cycle Architect

Mercor; Sydney; On-site; AUD 90,000 - 150,000; Full time

Job summary

Mercor is seeking professionals with deep, hands-on experience in healthcare administrative and back-office work to design realistic, complex scenarios for training AI agents. You will build supporting records and author and evaluate healthcare-operations tasks, focusing on back-office disciplines within medical practice, hospital, or health plan.

The role emphasizes authoring and judgment rather than throughput, with priority on coding, utilization, and revenue cycle operations.

Qualifications

• 2+ years of hands-on, recent experience in a healthcare administrative / back-office role.
• Direct experience with payer portals, EHR / practice-management platforms, encoders and computer-assisted coding tools, and/or clearinghouses
• A 10+ hrs/week commitment

Responsibilities

• Medical Coding: inpatient, outpatient and pro-fee coding, risk adjustment / HCC coding, coding audit
• Prior Authorization & Utilization: initiating, submitting and tracking authorizations through payer portals; utilization review and management
• Revenue Cycle Operations: denials and appeals, A/R follow-up, payment and revenue integrity, underpayment recovery

Skills

Healthcare back-office experience

Exception handling / appeals

Tools

Availity payer portals

Optum/Change Healthcare

Waystar

Office Ally

EHR/practice-management platforms

encoders / CAC tools

clearinghouses

Job description

Mercor is seeking professionals with deep, hands-on experience in healthcare administrative and back-office work to design realistic, complex scenarios for training AI agents. You will build supporting records and author and evaluate healthcare-operations tasks, focusing on back-office disciplines within medical practice, hospital, or health plan.

The role emphasizes authoring and judgment rather than throughput, with priority on coding, utilization, and revenue cycle operations.