Medical Billing Manager for AI Evaluation

Lead and manage end-to-end medical billing and claims submission operations while evaluating and improving AI tools that automate billing workflows. You will validate AI-generated billing outputs, annotate errors, and provide structured feedback so AI systems increase first-pass claim acceptance rates and accelerate revenue cycle performance.

• Oversee professional fee and/or facility billing and claims submission processes.
• Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
• Manage electronic claims workflows, including claim generation, clearinghouse edits, and payer-specific submission requirements.
• Monitor clean claim rates, rejection rates, and first-pass acceptance rates, and design strategies to improve these metrics.
• Coordinate with coding, clinical documentation improvement, and collections teams to resolve billing edits and claim rejections.
• Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
• Manage billing staff workload, productivity, and quality performance metrics.
• Develop and maintain billing standard operating procedures and payer-specific billing reference guides.
• Annotate AI outputs and deliver structured feedback and documentation to support AI training datasets.

• Minimum 5 years of experience in medical billing and claims management, including at least 2 years in a management role.
• Deep knowledge of professional fee billing, CMS-1500 and 837P, and/or facility billing, UB-04 and 837I.
• Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
• Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
• Proficiency with billing platforms such as Epic, Athenahealth, AdvancedMD, or equivalent, and experience with clearinghouse tools.
• Exceptional written and verbal English communication skills.
• High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.

• CPC, CCS, CHFP, or CRCR certification.
• Experience with automated billing platforms and revenue cycle management technology implementations.
• Background in multi-specialty physician group, hospital, or health system billing operations.
• Familiarity with AI tools and experience evaluating AI-generated billing content.
• Experience interpreting payer contracts and managing billing compliance programs.

• Location: Remote.
• Employment type: Hourly.

$80.00 per hour (hourly rate 80 - 80).

• Role requires strong English language proficiency for written and verbal communication.

• Contribute to the development of next-generation AI systems for healthcare billing and revenue cycle improvement.
• Work with leading AI research teams and gain exposure to advanced AI workflows applied to medical billing.