Developer
MercorAustralia3 hours ago
ContractRemote FriendlyHealth Care Provider, Writing/Editing +1
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Company Introduction
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.
Role Overview
Must-Have Qualifications
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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.
Role Overview
- Position: Healthcare Operations Specialist – Contractor, Remote
- Commitment: ~20-30 hours/week
- Develop high-quality benefits investigation phone call scripts for infusion orders to ensure clarity, compliance, and consistency across all payer interactions.
- Write and refine lines of questioning for phone calls to payers regarding eligibility and benefits for infusion therapies.
- Incorporate payer-specific nuances such as medical vs. pharmacy benefit distinctions, site-of-care rules, step therapy, and prior authorization pathways.
- Translate payer notes and requirements into structured, natural-language questions.
- Ensure scripts are designed to elicit precise, auditable answers from payer representatives.
- Collaborate with internal reviewers to refine clarity, tone, and compliance.
Must-Have Qualifications
- Background in infusion therapy, payer communications, or benefits investigation.
- Working knowledge of HCPCS, CPT, J-codes, and relevant ICD-10 diagnoses.
- Understanding of modifiers and place-of-service impact on coverage.
- Strong grasp of insurance concepts for infused and specialty drugs.
- Excellent written documentation and attention to detail.
- Experience conducting payer calls is a strong plus.
- Commitment: ~20-30 hours/week
- Type: Contractor (Independent)
- Location: Remote
- Work with a global, high-caliber team through Mercor
- Upload resume
- AI interview based on your resume
- Submit form
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome
- For any help or support, reach out to: [email protected]
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Key Skills
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