Patient Financial Clearance Leader

$135/hrrate as listed

Evaluate AI-generated financial counselling recommendations, eligibility screening outputs, and patient-facing financial communications for a frontier AI lab, working through Mercor. Requires 5+ years in patient financial clearance or self-pay revenue cycle work, including at least two years leading a team.

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

What the work involves

You will review AI outputs against the judgment you already apply on the job: does a charity care determination follow the hospital's FAP and 501(r) obligations, is a presumptive eligibility call defensible, would this payment plan letter survive a patient complaint or a compliance audit? Tasks typically arrive as discrete items — a generated financial counselling script, a Medicaid screening recommendation, a self-pay resolution plan, a patient balance explanation — and you score them, flag errors, and write a short rationale explaining what a competent counsellor would have done instead. Some assignments ask you to construct realistic scenarios (uninsured trauma admit, underinsured patient at point of service, sliding-scale FQHC case) and grade multiple model responses against them.

The written rationale matters as much as the score. Reviewers who write "incorrect" get filtered out; reviewers who write "this applies a 200% FPL threshold when the stated policy is 300%, and omits the required plain-language notice" become the ones the lab keeps routing work to.

What the platform screens for

Verifiable operational history: which health system, what volume, what your charity care conversion and POS collection numbers looked like, and what you personally owned versus supervised.
Depth under follow-up on 501(r), EMTALA interactions, presumptive eligibility logic, and where financial assistance policy and collections practice actually conflict.
Evaluation judgment — whether you can separate an output that is wrong from one that is merely unlike how you would phrase it, and whether you can rank two flawed responses.
Writing that is specific and legible to non-clinicians, since your feedback becomes training signal.

Logistics

Fully remote and asynchronous, with work claimed from a queue rather than scheduled. Most contributors commit 10–20 hours per week; some projects run in short bursts tied to a lab's evaluation cycle and then pause. The $135/hr figure is the observed rate on this listing — Mercor sets rates per project and per reviewer, and it is not guaranteed. Expect a paid or unpaid calibration task before volume work is released, and expect assignment to depend on ongoing agreement with senior reviewers.

What they look for

5+ years in patient financial counselling, financial clearance, or self-pay revenue cycle, with 2+ years leading a team
Working knowledge of 501(r) financial assistance requirements, charity care policy, and EMTALA implications
Medicaid eligibility and presumptive eligibility screening experience
Point-of-service collections, payment plan administration, and patient financial advocacy
Epic or Cerner proficiency plus financial assistance management tools
Clear written English suitable for structured evaluation rationales
CRCR or comparable revenue cycle certification (preferred)

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 5 or more years of experience in patient financial counseling, financial clearance operations, or self-pay revenue cycle management?
Patient Financial Counseling or Financial Clearance Experience · required
Do you have at least 2 years of experience in a formal leadership role (supervisor, manager, director, or equivalent) in patient financial operations?
Leadership Experience · required
Do you have demonstrated experience screening patients for Medicaid eligibility and/or determining charity care qualification as a core job responsibility?
Medicaid and Charity Care Knowledge · required
Are you familiar with 501(r) regulatory requirements for hospital financial assistance programs through hands-on compliance work or policy implementation in your role?
501(r) Regulatory Familiarity · preferred
Do you have working experience with Epic, Cerner, or another major hospital EHR platform for financial clearance or revenue cycle functions?
EHR Platform Proficiency · preferred
Do you have professional proficiency in written and verbal English, sufficient to counsel patients and document complex financial situations clearly?
English Communication · required

0 of 6 answered

Included with this listing

Interview prep — 12 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: Whether the candidate can articulate the actual mechanics of eligibility determination (income thresholds, asset limits, program-specific rules) and patient-facing communication, not just the general concept of 'helping patients.'
A strong answer: The answer must name specific eligibility criteria (income-to-FPL ratio, asset caps, program-specific rules), describe the documentation reviewed, and explain how the decision was communicated—it should reveal that they've done this hundreds of times and know the granular rules.
Where people lose it: Candidates often describe 'connecting patients to resources' or 'assessing their situation' without naming a single concrete criterion, exposing that their charity care work was administrative or case-management-adjacent rather than frontline eligibility determination.