Medical Billing Manager | $80/hr Remote
Overview
We're partnering with a leading AI research lab to sharpen the accuracy of next-generation billing automation tools. We need a seasoned medical billing manager to assess AI-generated outputs, catching errors and ensuring payer compliance. Your hands-on experience will directly shape AI systems that reduce rejections and accelerate revenue cycles.
What You'll Do6
- 1Manage the full lifecycle of medical billing and claims submission, including both professional and facility billing workflows.
- 2Review and validate AI-generated billing outputs, claim edits, and coding verifications for accuracy and payer rule compliance.
- 3Oversee electronic claim generation, clearinghouse edits, and payer-specific billing requirements across various platforms.
- 4Track clean claim rates, rejection trends, and first-pass acceptance metrics, then develop strategies to improve them.
- 5Collaborate with coding, clinical documentation integrity, and collections teams to resolve billing edits and denied claims.
- 6Ensure all processes adhere to CMS billing guidelines, HIPAA 837 transaction standards, and individual payer rules.
Requirements5
- 1At least 5 years of medical billing and claims management experience, with 2+ years in a supervisory or management capacity.
- 2Deep knowledge of CMS-1500/837P for professional fee billing and/or UB-04/837I for facility billing.
- 3Strong familiarity with HIPAA 837 standards, clearinghouse operations, and payer-specific billing policies.
- 4Hands-on experience with billing systems like Epic, Athenahealth, or AdvancedMD, plus clearinghouse tools.
- 5Exceptional written and verbal communication skills in English, with a sharp eye for detail when reviewing AI-generated content.
Who Should Apply
You're an experienced billing manager who thrives on refining processes and has a solid grasp of payer requirements, EDI transactions, and revenue cycle workflows. You're comfortable working with AI tools and eager to help train systems that will reshape healthcare billing. You enjoy giving structured feedback and collaborating with tech teams to improve outcomes.
Salary Insight
The role pays $80.00 per hour (contract-based).
Application Tip
In your application, emphasize a specific example where you improved a billing team's clean claim rate or reduced rejections. If you've ever reviewed AI-generated outputs or worked on RCM automation, mention that experience — it's a strong plus.
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