Denials Management & Appeals Manager

About the Role

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. Lead denials management and appeals operations, overseeing the identif

What You'll Do

• 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.

You're a Good Fit If You

• Relevant professional experience in this field.
• Strong written communication skills.
• Available for the stated weekly commitment.

Role Highlights

Pay & Payout

Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.

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