-
Mercor

Developer

Mercor
Australia · Contract · Entry

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)

  • 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/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.

,

Key Skills

Ranked by relevance

ai san
Login to Apply
Posted
Oct 06, 2025
Type
Contract
Level
Entry
Location
Australia
Company
Mercor

Industries

Software Development

Categories

Health Care Provider Writing/Editing Administrative

Related Jobs

3 roles aligned with this opportunity

View all jobs
View Job Details
EPAM Systems
Related

Senior .NET Developer

2026-05-21

Full-time
Mid-Senior
Argentina
Software Development
Information Technology
View Job Details
hyperexponential
Related

Product Designer

2026-06-07

Full-time
Not Applicable
United Kingdom
Software Development
Design
View Job Details
AlphaSense
Related

Senior/Staff Product Designer

2026-05-28

Full-time
Not Applicable
Finland
Software Development
Design