Remote Medical Billing & Claims Manager

mercor; United States; Remote; USD 94,000 - 127,000; Part time

Job summary

Mercor is seeking a Medical Billing Manager for a remote contract role. You will oversee end-to-end medical billing and claims management across professional and facility environments, ensuring accuracy and payer compliance.

The role requires 5+ years in medical billing, with at least 2 years in a management position, deep knowledge of CMS-1500/837P and UB-04/837I, HIPAA standards, and proficiency with Epic, Athenahealth, or AdvancedMD.

Qualifications

• 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.

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.

Skills

Medical billing expertise

Healthcare payer rules

CMS-837 knowledge

HIPAA compliance

Education

CPC/CCS/CHFP/CRCR certifications

Tools

Epic

Athenahealth

AdvancedMD

Clearinghouse tools

Job description

Mercor is seeking a Medical Billing Manager for a remote contract role. You will oversee end-to-end medical billing and claims management across professional and facility environments, ensuring accuracy and payer compliance.

The role requires 5+ years in medical billing, with at least 2 years in a management position, deep knowledge of CMS-1500/837P and UB-04/837I, HIPAA standards, and proficiency with Epic, Athenahealth, or AdvancedMD.