# Eligibility & Benefits Manager - Remote | Upto $105/hr at…

> Source: https://confidential.careers/job-detail/eligibility-benefits-manager-remote-upto-105-hr-mercor-san-francisco

# Eligibility & Benefits Manager - Remote | Upto $105/hr

Mercor 

** San Francisco, United States ** Full Time ** Human Resources Jobs ** United States ** New

[Apply Now](https://confidential.careers/go/14975098) ** Save 

## Job Description

**About the job**

**Mercor** connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include **Benchmark**, **General Catalyst**, **Peter Thiel**, **Adam D'Angelo**, **Larry Summers**, and **Jack Dorsey**.

**Position:** Insurance Verification & Benefit Manager
**Type:** **Contract**
**Compensation:** **$105/hour**
**Location:** **Remote**

**Role Responsibilities**

- Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers. 
- Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions. 
- Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery. 
- Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance. 
- Develop and document SOPs for eligibility and benefits verification workflows. 
- Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times. 
- Ensure compliance with payer-specific requirements, CMS guidelines, and HIPAA regulations. 
- Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials. 
- Provide structured feedback and annotations to support AI training datasets. 

**Qualifications**

**Must-Have**

- 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role. 
- Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools. 
- Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures. 
- Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms. 
- Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar. 
- Exceptional written and verbal English communication skills. 
- High attention to detail with the ability to identify subtle discrepancies in coverage data. 

**Preferred**

- CHAM, CHAA, or equivalent front-end revenue cycle certification. 
- Experience with automated eligibility verification tools and RPA solutions. 
- Background in denial root cause analysis related to eligibility and coverage errors. 
- Familiarity with AI tools and comfort evaluating AI-generated healthcare content. 
- Experience presenting eligibility performance data to senior leadership. 

**Application Process (Takes 20–30 mins to complete)**

- Upload resume 
- AI interview based on your resume 
- Submit form 

**Resources & Support**

- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome 
- For any help or support, reach out to: support@mercor.com 

*PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.*

Posted August 21, 2026