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Patient Financial Clearance Specialist

Job Description - Patient Financial Clearance Specialist

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: Patient Financial Clearance Leader
Type: Contract
Compensation: $135/hour
Location: Remote

Role Responsibilities

  • Lead patient financial counselling and financial clearance operations, including charity care screening, financial assistance applications, and self-pay resolution.
  • Evaluate AI-generated financial counselling recommendations, eligibility screening outputs, and patient communication drafts for accuracy and appropriateness.
  • Screen patients for Medicaid eligibility, charity care qualification, and financial assistance program enrollment.
  • Counsel patients on financial obligations, payment plan options, and available assistance programs.
  • Coordinate with social work, case management, and billing teams to address complex patient financial situations.
  • Develop and maintain SOPs for financial clearance workflows, including pre-service financial screening and point-of-service collections.
  • Monitor KPIs including charity care conversion rates, financial assistance enrollment, and point-of-service collection performance.
  • Ensure compliance with regulatory requirements for financial assistance programs (501(r) regulations, EMTALA).
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in patient financial counselling, financial clearance, or self-pay revenue cycle management, with at least 2 years in a leadership role.
  • Deep knowledge of charity care programs, financial assistance eligibility, Medicaid screening, and self-pay collections.
  • Familiarity with 501(r) regulatory requirements and hospital financial assistance policy compliance.
  • Experience with point-of-service collections, payment plan administration, and patient financial advocacy.
  • Proficiency with EHR platforms (Epic, Cerner) and financial assistance management tools.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate financial documentation and AI-generated outputs.

Preferred

  • Certified Revenue Cycle Representative (CRCR) or similar revenue cycle certification.
  • Experience with presumptive eligibility screening tools and Medicaid enrolment facilitation.
  • Background in hospital, health system, or federally qualified health centre (FQHC) settings.
  • Familiarity with AI tools and comfort evaluating AI-generated patient financial content.
  • Experience developing patient financial education materials and staff training programs.

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: [email protected]

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

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