Claims examiner • wilmington nc
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more
We are answering a call to action to expand our roster - join us as a 1099 Residential or Commercial Field Adjuster!.Minimum 1 year first-party commercial and/or residential property adjusting expe... Show more
Build Your Best Future With The Johnson Controls Team.As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, place... Show more
S peaks Law Firm is seeking an experienced high volume Personal Injury Case Manager (Paralegal) to join our Wilmington team.Candidates must have at least two (2) years of experience working with a ... Show more
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.We offer home, auto and accident an... Show more
Psychologist – Veteran Disability Evaluations (1099, Part-Time).Why This Opportunity Stands Out:.Step away from the demands of traditional clinical practice and enjoy a structured, low-stress envir... Show more
Doctor of Medicine | Pathology.LocumJobsOnline is working with Provider Healthcare to find a qualified Pathology MD in Greenville, North Carolina, 27833!.Locum Tenens Opportunity – Forensic Patholo... Show more
HHM Talent is assisting a client in their search for an Assistant Controller in Wilmington, NC.Experience in reinsurance accounting is required.Position OverviewThis financial role is an integral p... Show more
Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina.Wilmington Health is structured as a multi-speci... Show more
Essential Duties and Responsibilities: - Update facility billing information.Request claims and processing payment.Ensure VES payments have been posted.Confirm zero balances on patients' acco... Show more
The Guest Services Manager will be responsible for overseeing all aspects of the parking operations including, but not limited to, valet parking operations, maintaining Forbes guest service standar... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Jonathan Calhoun - State Farm Agent is seeking a qualified and empathetic professional for the role of Life Insurance Position - State Farm Agent Team Member.As a customer-oriented expert, you will... Show more
Supports the Human Resources Department through coordination of recruiting, onboarding, employee services, compliance activities, and other HR operations while delivering exceptional customer servi... Show more
The Commercial Contracts Manager develops and negotiates commercial contract language and provides contracts leadership and expertise for project teams across all GVH product lines globally.This ro... Show more
Commercial Litigation Associate.One of our respected law firms is seeking a.Commercial Litigation Attorney.This is an excellent opportunity to work with a reputable firm handling high-level commerc... Show more
Controller/Secretary-Treasurer.The Controller/Secretary-Treasurer must fairly represent the financial condition of the company, develop controls necessary for the proper conduct of business, mainta... Show more
Senior Insurance Solutions Specialist.At Sound Retirement Solutions powered by American Senior Benefits we are dedicated to serving those in need of insurance, especially seniors.We are proudly ind... Show more
The average salary range is between $ 40,010 and $ 91,090 year , with the average salary hovering around $ 55,009 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Billing and Claims Managers to support the evaluation of AI tools designed to automate and improve medical billing and claims submission workflows. Your expertise in claims processing, payer requirements, EDI transactions, and billing compliance will directly inform AI systems that improve first-pass claim acceptance rates and accelerate revenue cycle performance. **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 and 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. - Manage billing staff workload, productivity, and quality performance metrics. - Develop and maintain billing SOPs and payer-specific billing reference guides. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 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. **Preferred Qualifications** - CPC, CCS, CHFP, or CRCR certification. - Experience with automated billing platforms and RCM technology implementations. - Background in multi-speciality physician group, hospital, or health system billing operations. - Familiarity with AI tools and comfort evaluating AI-generated billing content. - Experience with payer contract interpretation and billing compliance program management. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in medical billing and revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
