[Hiring] A/R Follow-up Manager @Mercor

Role Description

Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers. Ensure 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.
• Prioritize A/R queues by aging bucket, payer, and dollar value to maximize revenue recovery.
• Identify and resolve claim payment discrepancies, payer processing errors, and underpayments.
• Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

• Must-Have:
• 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 prioritizing 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:
• 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.

Company Description