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Remote | Insurance Verification and Benefits Eligibility Consultant — Up to $80/hourNew York, New York, United States Or refer someone Job Openings Remote | Insurance Verification and Benefits Eligibility Consultant — Up to $80/hourAbout the JobWe are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in insurance verification, eligibility and benefits review, payer portal workflows, EDI 270/271 transactions, clearinghouse tools, front-end revenue cycle operations, and coverage discrepancy resolution.

This role supports current and upcoming remote consulting opportunities focused on AI-assisted insurance verification evaluation, eligibility and benefits workflow review, payer coverage assessment, and high-quality project execution. Selected professionals will apply front-end revenue cycle expertise to evaluate AI-generated eligibility outputs, identify coverage discrepancies, review payer compliance issues, and provide structured feedback based on detailed project criteria.

Key ResponsibilitiesProfessionals in this role may contribute to: Insurance Verification & Eligibility ReviewReview insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payersEvaluate AI-generated eligibility verification outputs for accuracy, completeness, and payer complianceAssess coverage information gathered through payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactionsIdentify coordination of benefits issues, coverage gaps, eligibility discrepancies, missing payer details, or inaccurate AI-generated coverage conclusionsFront-End Revenue Cycle Workflow EvaluationReview front-end revenue cycle workflows involving pre-service verification, benefit checks, coverage validation, payer requirements, and claim denial preventionEvaluate recommendations related to eligibility-related denial reduction, turnaround time improvement, verification accuracy, and process standardizationAssess whether outputs align with Medicare, Medicaid, commercial payer, managed care, CMS, and payer-specific eligibility requirementsReview KPIs such as verification accuracy rates, eligibility-related front-end denial rates, turnaround times, and workflow performanceStructured Feedback, Compliance & Quality ControlAnnotate AI-generated insurance verification and eligibility outputs and provide structured feedback to support quality improvementEvaluate content for alignment with HIPAA, payer-specific requirements, CMS guidelines, and front-end revenue cycle best practicesExplain review decisions clearly, consistently, and with strong patient access and revenue cycle judgmentFollow detailed task instructions, quality criteria, and project-specific review guidelines accuratelyIdeal ProfileStrong candidates may have:5+ years of experience in insurance verification, eligibility and benefits management, patient access, front-end revenue cycle operations, or related healthcare workflowsAt least 2 years of experience in a management, team lead, supervisor, or operational oversight roleExpert knowledge of EDI 270/271 transactions, payer portal navigation, clearinghouse workflows, and real-time eligibility toolsStrong familiarity with Medicare, Medicaid, commercial payer, and managed care eligibility requirements and benefit structuresProficiency with EHR platforms such as Epic, Cerner, Meditech, or similar systemsExperience with clearinghouse platforms such as Availity, Change Healthcare, or similar toolsExceptional written and verbal English communication skillsHigh attention to detail and ability to identify subtle discrepancies in coverage data, payer responses, and AI-generated eligibility outputsEducational BackgroundProfessional background in insurance verification, eligibility and benefits, patient access, front-end revenue cycle operations, healthcare registration, financial clearance, billing, or healthcare business office functions is highly relevantExperience in hospitals, health systems, physician groups, patient access departments, payer-facing workflows, or multi-payer revenue cycle environments may be especially valuablePractical experience with EHR systems, payer portals, clearinghouses, eligibility tools, verification workqueues, and denial prevention workflows may support project fitFormal education in healthcare administration, business, health information management, finance, or a related field may be relevant depending on project scopeNice to HaveCHAM, CHAA, CRCR, or similar patient access or front-end revenue cycle certificationExperience with automated eligibility verification tools, RPA solutions, or front-end revenue cycle technology platformsBackground in denial root cause analysis related to eligibility, coordination of benefits, coverage errors, or registration issuesFamiliarity with AI tools and comfort evaluating AI-generated healthcare eligibility or coverage contentExperience developing eligibility verification SOPs, benefits investigation workflows, payer reference guides, or front-end revenue cycle performance reportsExperience presenting eligibility performance data, denial trends, or workflow improvement recommendations to senior leadershipWhy This OpportunityApply insurance verification and eligibility expertise to structured remote healthcare project workContribute to high-quality AI-assisted front-end revenue cycle workflow evaluationUse payer portal, clearinghouse, EDI 270/271, and benefits investigation knowledge in a focused review environmentWork on flexible assignments aligned with patient access, eligibility verification, coverage review, and denial prevention expertiseRemote structure with competitive hourly compensationContract DetailsIndependent contractor roleFully remote with flexible schedulingUnited States-based professionals are required for this opportunityPart-time project-based commitment depending on availability, onboarding status, and project needsCompetitive rates of up to $80 per hour depending on insurance verification experience, eligibility and benefits expertise, leadership background, and project scopeWeekly payments via Stripe or WiseProjects may be extended, shortened, or adjusted depending on scope and performanceWork will not involve access to confidential or proprietary information from any employer, client, or institutionAbout the PlatformThis opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams.

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