Talent.com
Mercor
Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)Mercor • Camden, New Jersey, US
Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

Mercor • Camden, New Jersey, US
4 days ago
Salary
$70.00 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 Denials Management and Appeals Managers to evaluate AI tools designed to automate denial prevention, appeal writing, and root cause analysis workflows. Your expertise in payer denial patterns, clinical and technical appeals, and denial management analytics will directly inform AI systems that reduce denial rates and maximise revenue recovery. **Responsibilities** - Lead denials management and appeals operations, overseeing the identification, categorisation, and resolution of claim denials. - Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness. - Analyse denial trends by payer, denial code (CARC/RARC), and denial category to identify systemic root causes. - Develop and manage clinical and technical appeal strategies across multiple payer types. - Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives. - Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R. - Manage the appeals calendar to ensure timely submission within payer and regulatory deadlines. - Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role. - Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers. - Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews. - Experience with denial analytics platforms and revenue cycle reporting tools. - Proficiency with EHR systems and billing platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content. **Preferred Qualifications** - CPC, CCS, CRCR, or CHFP certification. - Experience with AI-assisted denial management platforms (e.g., Waystar, Experian Health, Nthrive). - Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials. - Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content. - Experience presenting denial management performance to revenue cycle 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 denials management and revenue cycle. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
Create a job alert for this search

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour) • Camden, New Jersey, US

Similar jobs

Conversational AI and Agentic AI - Manager

PwC (US)Philadelphia, PA, United States
Full-time

Conversational AI and Agentic AI - Manager.As a Conversational AI and Agentic AI - Manager, you will lead the charge in developing innovative user interaction solutions within our Advisory practice... Show more

 • Promoted

Travel MRI Tech - $2600 / Week

Ventura MedStaffDoylestown, PA, US
Full-time

Ventura MedStaff is seeking an experienced MRI Tech for an exciting Travel Allied job in Doylestown, PA.Shift: 5x8 hr days Start Date: 08/11/2026 Duration: 13 weeks Pay: $2600 / Week.Founded in 201... Show more

 • Promoted

AI Senior Manager SFL Scientific

DeloittePhiladelphia, PA, United States
Full-time

Deloitte is committed to providing reasonable accommodations for people with disabilities.If you require a reasonable accommodation to participate in the recruiting process, please direct your inqu... Show more

 • Promoted

Job Director, Artificial Intelligence (AI)

AmetekDoylestown, PA, United States
Full-time

Director, Artificial Intelligence (AI).Location: Virtual, US, 99999 Business Unit: Nul.The Director, Artificial Intelligence, will own and deliver the division's AI-driven value creation agenda.Thi... Show more

 • Promoted

Innovation Manager, Applied AI

Greenberg TraurigPhiladelphia, PA, United States
Full-time

Innovation Manager, Applied AI.Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting employment opportunity for you.We offer competitive compens... Show more

 • Promoted

Manager, Clinical Research Specialist Training THV AR (Remote US)

Edwards LifesciencesPhiladelphia, PA, United States
Remote
Full-time

Clinical Training Program Leader.Imagine how your ideas and expertise can change a patient's life.We generate extensive clinical evidence to demonstrate the effectiveness and safety of our innovati... Show more

 • Promoted

Senior Manager AI & Analytics Delivery

Inizio PartnersPhiladelphia, PA, United States
Full-time

Senior Manager AI & Analytics Delivery.Philadelphia, Pennsylvania, United States.About the Job Senior Manager AI & Analytics Delivery.Role: Senior Manager AI & Analytics Delivery.Job Type: Fullt... Show more

 • Promoted

Director, AI Engineering ( Remote-Eligible)

Capital onePhiladelphia, PA, United States
Remote
Full-time +1

Director, AI Engineering ( Remote-Eligible) At Capital One, we are creating responsible and reliable AI systems, changing banking for good.For years, Capital One has been an industry leader in usin... Show more

 • Promoted

Become a Surrogate, give the miracle of life, and earn up to $115,000 from home!

Giving Tree SurrogacyClementon, NJ, US
Full-time +1

We are looking for a passionate individual with a sense of responsibility and willingness to help create families to join us as a surrogate.In this role, you will be instrumental in supporting indi... Show more

 • Promoted

Flexible remote AI work. Your schedule. Paid weekly, straight to your bank account.

Meridian.aiWilliamstown, NJ, US
Remote
Full-time

Review and label digital content including text, images, and documents.Every task you complete helps improve how technology interprets information and performs in practical settings.Detail-oriented... Show more

 • Promoted

Earn Side Money at Home Testing Products

Product Review JobsSERGEANTSVILLE, NJ, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Travel MRI Tech - $2363 / Week

Host HealthcareDoylestown, PA, US
Full-time

Host Healthcare is seeking an experienced MRI Tech for an exciting Travel Allied job in Doylestown, PA.Shift: Inquire Start Date: 08/11/2026 Duration: 13 weeks Pay: $2363 / Week.At Host Healthcare,... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersGrenloch, NJ
Remote
Full-time

Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more

 • Promoted

AI Strategy Manager

ZS AssociatesPhiladelphia, PA, United States
Full-time

ZS is a place where passion changes lives.As a management consulting and technology firm focused on improving life and how we live it, we transform ideas into impact by bringing together data, scie... Show more

 • Promoted

Remote Online Survey Taker – Earn Up to $25 Per Survey

Earn HausWinslow, NJ, US
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

Director of Applied AI Product

Acceleration PartnersPhiladelphia, PA, United States
Full-time

Director of Applied AI Product.The Director of AI Product role at Acceleration Partners is a remote, work-from-home position, as are all roles at AP, a structure central to our culture and our visi... Show more

 • Promoted

Senior Director, Applied AI Product

HealthVerityPhiladelphia, PA, United States
Full-time +1

Senior Director, Applied AI Product.The Senior Director of Applied AI Product leads the organization's applied AI product function, spanning product strategy, discovery, delivery, and the roadmap f... Show more

 • Promoted

Agentic AI Delivery Leader

AscensusPhiladelphia, PA, United States
Full-time

Senior Manager, Agentic AI Delivery.Ascensus is the leading independent technology and service platform powering savings plans across America, providing products and expertise that help nearly 16 m... Show more

 • Promoted

AI Transformation Manager

SiaPhiladelphia, PA, United States
Full-time

We're looking for an AI Transformation Manager to join Sia's ETI practice and help clients across energy, transportation, and industrial sectors successfully adopt and scale AI across their organiz... Show more

 • Promoted

Senior Product Manager, Clinical AI

RELXPhiladelphia, PA, United States
Full-time

Senior Product Manager IAre you keen to develop your Product Management career?Would you enjoy working on our cutting-edge products?About ElsevierA global leader in information and analytics, we he... Show more