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Claims processor Jobs in Durham, NC

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Claims processor • durham nc

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Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorDurham, North Carolina, US
$75.00 hourly
Remote
Full-time

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

Loan Processor

D.R. HortonDurham, NC, United States
Full-time

It is engaged in the construction and sale of high quality homes designed principally for the entry-level and first time move-up markets.The Company also provides mortgage financing and title servi... Show more

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Customer Service Representative - State Farm Agent Team Member

Antonio Vela - State Farm Agentdurham, NC, US
$40,000.00 yearly
Full-time

As a Customer Service Representative - State Farm Agent Team Member with Antonio Vela - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of... Show more

Fiber Infrastructure & Outside Plant Operations - Claims Recovery Manager

MCNCDURHAM, NC, US
Full-time
Quick Apply

Position Summary The Claims Recovery Manager will support the protection and financial recovery efforts associated with utility and telecommunications fiber optic infrastructure.This role is respon... Show more

Government Medicaid Contract Analyst

GSKDurham Blackwell Street
Full-time

GSK remains committed to achieving bold commercial ambitions for the future.By 2031, we aim to deliver £40 billion in annual sales, leveraging our existing strong performance momentum to significan... Show more

Remote Medical Support Assistant (Medical Receptionist)

Ansible Government SolutionsDurham, NC, US
Remote
Full-time
Quick Apply

Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Remote Medical Support Assistants (MSA) to support the Durham VA Medical Center located at 508 Fulton St.Weekend coverag... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorDurham, North Carolina, US
$80.00 hourly
Remote
Full-time

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

Site Director, Clinical Risk Management

Duke HealthDurham, NC, United States
Full-time

Site Director Of Clinical Risk Management.At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.No matte... Show more

Coding Manager - Hybrid/Durham

Avance CareDurham, NC, United States
Full-time

Join Avance Care A Leading Force in Independent Primary Care!.Avance Care is a rapidly growing network of 35 primary care practices across the Triangle (Raleigh-Durham-Chapel Hill), Charlotte, and... Show more

Senior Business Systems Analyst

Blue Cross NCDurham, NC, United States
Full-time

Utilizing strong functional/technical area knowledge and expertise with relevant systems/applications.The incumbent defines, evaluates, and validates requirements, business functional design, and t... Show more

Loan Processor

D.R. HortonDurham, North Carolina
Full-time

One-year certificate from college or technical school.Three to six months of related experience and/or training.Ability to apply common sense understanding to carry out instructions furnished in wr... Show more

Auto & Heavy Equipment Appraiser - 1099 - Durham, NC

CCMS & AssociatesDurham, NC, United States
Full-time

Auto And Heavy Equipment Appraiser.CCMS & Associates is seeking experienced auto and heavy equipment appraisers to join our independent adjuster and appraiser roster.As a 1099 independent contracto... Show more

Site Director, Clinical Risk Management

Duke UniversityDurham, NC, United States
Full-time

Site Director, Clinical Risk Management.Work Arrangement: On-Site Location: Durham, NC, US, 27710 Personnel Area: HEALTH SYSTEM Date: Jul 3, 2026.At Duke Health, we're driven by a commitment to com... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Cambridge, Maryland, US
Full-time

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

 • Promoted

Customer Service Representative - State Farm Agent Team Member

Mike Hillenga - State Farm AgentDURHAM, NC, US
$40,000.00 yearly
Full-time

As a Customer Service Representative - State Farm Agent Team Member with Mike Hillenga - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of ... Show more

Field RV/Specialty Estimator

AllstateDurham, NC, United States
$35.82 hourly
Full-time

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

Insurance Agent

Alchemy Financial GroupDurham, NC, United States
Full-time

About the Insurance Agent Position.We're seeking a motivated and competitive worker to join our team as an Insurance Agent.As an Insurance Agent with Alchemy Financial, you'll be responsible for se... Show more

Government Medicaid Contract Analyst

GSKDurham, NC, United States
Full-time

Government Medicaid Contract Analyst.GSK remains committed to achieving bold commercial ambitions for the future.By 2031, we aim to deliver 40 billion in annual sales, leveraging our existing stron... Show more

Customer Service Representative - State Farm Agent Team Member

Zonya Autmon - State Farm AgentDurham, NC, US
$32,000.00 yearly
Full-time

As a Customer Service Specialist with Zonya Autmon State Farm Agency, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency.Your ... Show more

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Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorDurham, North Carolina, US
18 days ago
Salary
$75.00 hourly
Job type
  • Full-time
  • Remote
Job description
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 automate accounts receivable follow-up and payer collections workflows. Your expertise in claim status follow-up, payer correspondence, and A/R management will directly inform AI systems that reduce days in accounts receivable and improve revenue recovery. **Responsibilities** - Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers, ensuring timely resolution of outstanding claims. - Evaluate AI-generated A/R follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness. - Manage claim status follow-up workflows including electronic claim status inquiries (276/277 EDI), payer portal follow-up, and phone-based resolution. - Prioritise A/R queues by ageing bucket, payer, and dollar value to maximise revenue recovery. - Identify and resolve claim payment discrepancies, payer processing errors, and underpayments. - Monitor A/R KPIs including days in A/R, ageing bucket distribution, collection rates, and write-off rates. - Develop and implement payer-specific follow-up strategies to accelerate claim resolution. - Ensure compliance with FDCPA, HIPAA, and payer-specific follow-up and timely filing requirements. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in A/R follow-up, payer collections, or revenue cycle operations, with at least 2 years in a management role. - Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, and payer-specific collections processes. - Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines. - Experience prioritising and managing high-volume A/R queues across multiple payers. - Proficiency with billing systems and A/R management platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content. **Preferred Qualifications** - CRCR, CPC, or CHFP certification. - Experience with RCM technology platforms featuring automated A/R follow-up capabilities. - Background in multi-payer follow-up operations in hospital or physician group settings. - Familiarity with AI tools and comfort evaluating AI-generated A/R follow-up content. - Experience developing A/R reduction action plans and presenting performance to leadership. **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 accounts receivable and revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.