Note: The job is a remote job and is open to candidates in USA. 24-MAG LLC is offering a specialized part-time consulting opportunity for healthcare revenue cycle professionals experienced in accounts receivable follow-up. The role involves evaluating AI-assisted accounts receivable workflows, reviewing payer correspondence, and providing structured feedback to ensure quality and compliance.
Responsibilities
- Review accounts receivable follow-up workflows across commercial, Medicare, Medicaid, and managed care payers
- Evaluate AI-generated follow-up recommendations, claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness
- Assess workflows involving electronic claim status inquiries, EDI 276/277 transactions, payer portal follow-up, and phone-based payer resolution
- Identify incomplete follow-up logic, missing payer context, unresolved claim issues, or inaccurate AI-generated recommendations
- Review payer collections strategies involving aging buckets, payer prioritization, dollar-value prioritization, and revenue recovery workflows
- Evaluate recommendations related to claim payment discrepancies, payer processing errors, underpayments, delayed claims, and unresolved balances
- Assess whether follow-up actions align with Medicare, Medicaid, commercial payer, and managed care claim processing expectations
- Review accounts receivable KPIs such as days in accounts receivable, aging bucket distribution, collection rates, write-off rates, and claim resolution timelines
- Annotate AI-generated accounts receivable follow-up outputs and provide structured feedback to support quality improvement
- Evaluate content for alignment with FDCPA, HIPAA, payer-specific follow-up rules, and timely filing requirements where relevant
- Explain review decisions clearly, consistently, and with strong revenue cycle operations judgment
- Follow detailed task instructions, quality criteria, and project-specific review guidelines accurately
Skills
- 5+ years of experience in accounts receivable follow-up, payer collections, revenue cycle operations, or healthcare claims resolution
- At least 2 years of experience in a management, team lead, supervisor, or operational oversight role
- Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions, payer portals, and payer-specific collections processes
- Strong understanding of Medicare, Medicaid, commercial payer, and managed care claims processing timelines
- Experience prioritizing and managing high-volume accounts receivable queues across multiple payers
- Proficiency with billing systems, accounts receivable management platforms, and revenue cycle workflow tools
- Exceptional written and verbal English communication skills
- High attention to detail and ability to identify payment errors, payer discrepancies, and issues in AI-generated accounts receivable content
- Professional background in healthcare revenue cycle operations, accounts receivable follow-up, payer collections, billing operations, denial follow-up, claims resolution, or healthcare business office functions is highly relevant
- Experience in hospital, physician group, health system, payer-facing, or multi-payer revenue cycle environments may be especially valuable
- Practical experience with billing systems, payer portals, claim status tools, accounts receivable workqueues, and reimbursement workflows may support project fit
- Formal education in healthcare administration, business, finance, health information management, accounting, or a related field may be relevant depending on project scope
- CRCR, CPC, CHFP, or similar healthcare revenue cycle, coding, or healthcare finance credential
- Experience with revenue cycle technology platforms featuring automated accounts receivable follow-up capabilities
- Background in multi-payer follow-up operations in hospital, health system, or physician group settings
- Familiarity with AI tools and comfort evaluating AI-generated accounts receivable follow-up content
- Experience developing accounts receivable reduction action plans, payer-specific follow-up strategies, SOPs, or performance reports for leadership
Benefits
- Fully remote with flexible scheduling
- Weekly payments via Stripe or Wise
- Part-time project-based commitment depending on availability, onboarding status, and project needs
- Projects may be extended, shortened, or adjusted depending on scope and performance
Company Overview