Medical Billing Manager

$80/hrrate as listed

Review AI-generated medical billing outputs — claim edits, coding validations, payer-rule checks — and document where they would fail a real clearinghouse or payer. Mercor is staffing this for an AI research lab building revenue cycle automation; observed pay is around $80/hr.

Summary, eligibility guidance and screening preparation are prepared by Sidequest from the platform's posting. Check the source listing before applying.

What the work actually is

You are not running a billing department here. You are the person who reads what a model produced — a populated CMS-1500 or 837P segment, a suggested modifier, a claim-edit resolution, an appeal rationale — and decides whether it would survive a clearinghouse scrub and a payer adjudication. Most tasks arrive as a case with source documentation and one or more AI outputs. You score them, mark the specific defect (wrong place-of-service, missing NDC, modifier 25 without a separately identifiable service, taxonomy mismatch on the 837), and write a short correction that explains the payer rule behind it. Some batches ask you to author gold-standard responses or adversarial cases the model tends to fail.

What the screen looks for

Verifiable operational history. Volume you managed, payer mix, professional vs. facility, what your first-pass acceptance rate was and how you moved it.
Transaction-level depth. Loop and segment familiarity on the 837, how rejections differ from denials, what a clearinghouse edit catches versus what the payer catches downstream.
Payer specificity. Generic answers about "following CMS guidelines" screen out fast. Naming a MAC LCD, a commercial payer's timely filing quirk, or a Medicaid state plan difference does not.
Evaluation judgment. Can you distinguish a genuinely wrong output from one that is merely different from how you would do it, and can you explain the difference in writing that a non-billing annotator could follow?

Logistics

Fully remote, asynchronous, contract. Work is delivered in batches with deadlines rather than shifts; most contributors commit 10–20 hours per week, though some projects scale up for short periods. Pay is reported around $80/hr at this level, varying by project and assessed depth — treat it as observed rather than promised. Expect an onboarding calibration round where your annotations are compared against a rubric before full volume opens up.

What they look for

5+ years in medical billing and claims management, including 2+ years managing staff
Working knowledge of HIPAA 837P/837I transaction standards and clearinghouse edit logic
Professional fee (CMS-1500) and/or facility (UB-04) billing requirements in depth
Medicare, Medicaid, and commercial payer rule fluency, including payer-specific submission requirements
Hands-on experience with Epic, Athenahealth, AdvancedMD, or comparable billing platforms
Clear written English able to explain a billing defect and its rule basis in a few sentences

Before you apply

Would you pass this screen?

Drawn from what this listing actually requires. Answered in your browser — nothing is sent to us, and we do not store your answers.

Do you have at least 5 years of cumulative experience working in medical billing and claims management?
Years in medical billing · required
Do you have at least 2 years of experience in a billing or claims management role with responsibility for team, workflow, or operational oversight?
Management experience · required
Do you have hands-on experience with HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules?
HIPAA 837 and EDI knowledge · required
Have you worked with at least one of the following platforms: Epic, Athenahealth, AdvancedMD, or a comparable billing system?
Billing platform proficiency · required
Do you hold a current certification in medical billing or coding—such as CPC, CCS, CHFP, or CRCR?
Billing certification · preferred
Do you have direct experience with professional fee billing (CMS-1500/837P) and/or facility billing (UB-04/837I) requirements?
Professional or facility billing experience · required

0 of 6 answered

Included with this listing

Interview prep — 11 questions

Matched to what this platform's screening actually measures. Answer each out loud in 60–90 seconds: claim → concrete example → implication.

What it tests: Validates depth and scope of management experience across professional fee vs. facility billing, and whether the candidate has genuinely led billing operations or only participated in them.
A strong answer: The candidate names specific settings (physician group, hospital, health system), describes the team size or claim volume they managed, and distinguishes between professional fee (CMS-1500) and facility (UB-04) billing if they've touched both.
Where people lose it: Describing only individual contributor experience in billing (processing claims, handling denials) while claiming management; or being vague about scope ('I managed billing' without naming setting or volume).