Developer

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

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.

Responsibilities

• 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.

Requirements / Qualifications

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.

Preferred Qualifications

• Experience conducting payer calls is a strong plus.

Engagement Details

Commitment: ~20-30 hours/week
Type: Contractor (Independent)
Location: Remote
Work with a global, high-caliber team through Mercor

Application Process (Takes 20-30 mins to complete)

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Resources & Support

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]

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