Remote

We are sharing a specialised part-time consulting opportunity for United States-based healthcare revenue cycle professionals experienced in medical billing, claims submission, payer billing requirements, clearinghouse workflows, billing compliance, claim edits, electronic transactions, and revenue cycle operations.

This role supports current and upcoming remote consulting opportunities focused on AI-assisted medical billing evaluation, claims workflow review, billing output assessment, and high-quality project execution. Selected professionals will apply billing and claims expertise to evaluate AI-generated billing outputs, review claim edits and payer requirements, identify compliance or submission issues, and provide structured feedback based on detailed project criteria.

Key Responsibilities

Professionals in this role may contribute to:

Medical Billing & Claims Submission Review

• Review end-to-end medical billing and claims submission workflows across professional fee and facility billing environments
• Evaluate AI-generated billing outputs, claim edits, coding validations, and claims submission recommendations for accuracy and payer compliance
• Assess electronic claim generation, clearinghouse edits, payer-specific billing rules, and submission readiness
• Identify billing errors, missing claim information, payer-specific issues, compliance gaps, or incomplete AI-generated claim guidance

Payer Requirements & Revenue Cycle Workflow Evaluation

• Review billing workflows involving Medicare, Medicaid, commercial payers, professional claims, facility claims, and payer-specific requirements
• Evaluate outputs related to clean claim rates, rejection rates, first-pass acceptance rates, and claim resolution strategies
• Assess whether billing recommendations align with CMS billing guidelines, payer rules, HIPAA 837 transaction standards, and revenue cycle best practices
• Support review of coordination points between billing, coding, clinical documentation improvement, collections, and claims follow-up teams

Structured Feedback, Compliance & Quality Control

• Annotate AI-generated billing and claims content and provide structured feedback to support quality improvement
• Explain review decisions clearly, consistently, and with strong medical billing operations judgment
• Evaluate billing content for accuracy, compliance, payer alignment, and practical workflow usefulness
• Follow detailed task instructions, quality criteria, and project-specific review guidelines accurately

Ideal Profile

Strong candidates may have:

• 5+ years of experience in medical billing, claims management, revenue cycle operations, or healthcare billing workflows
• At least 2 years of experience in a management, team lead, supervisor, or operational oversight role
• Deep knowledge of professional fee billing, facility billing, or both
• Strong understanding of CMS-1500, UB-04, 837P, 837I, HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing requirements
• Experience with Medicare, Medicaid, commercial payer billing rules, claim edits, and rejection workflows
• Proficiency with billing platforms such as Epic, Athenahealth, AdvancedMD, or similar systems
• Exceptional written and verbal English communication skills
• High attention to detail and ability to identify billing errors, compliance issues, and AI-generated output problems

Educational Background

• Professional background in medical billing, healthcare revenue cycle operations, claims submission, billing management, coding support, claims editing, or healthcare business office functions is highly relevant
• Experience in hospital, health system, physician group, multi-specialty practice, or payer-facing billing environments may be especially valuable
• Practical experience with billing systems, clearinghouse tools, claim scrubbers, payer portals, coding validation workflows, and billing compliance processes may support project fit
• Formal education in healthcare administration, health information management, business, finance, accounting, coding, or a related field may be relevant depending on project scope

Nice to Have

• CPC, CCS, CHFP, CRCR, or similar coding, healthcare finance, or revenue cycle credential
• Experience with automated billing platforms, revenue cycle technology implementations, or billing workflow optimization
• Background in multi-specialty physician group, hospital, or health system billing operations
• Familiarity with AI tools and comfort evaluating AI-generated billing and claims content
• Experience with payer contract interpretation, billing compliance program management, billing SOPs, or payer-specific reference guide development

Why This Opportunity

• Apply medical billing and claims operations expertise to structured remote healthcare project work
• Contribute to high-quality AI-assisted billing workflow and claims submission evaluation
• Use payer rules, clearinghouse knowledge, billing compliance, and revenue cycle judgment in a focused review environment
• Work on flexible assignments aligned with healthcare billing, claims management, and revenue cycle operations expertise
• Remote structure with competitive hourly compensation

Contract Details

• Independent contractor role
• Fully remote with flexible scheduling
• United States-based professionals are required for this opportunity
• Part-time project-based commitment depending on availability, onboarding status, and project needs
• Competitive rates of up to $60 per hour depending on medical billing experience, claims management background, leadership experience, and project scope
• Weekly payments via Stripe or Wise
• Projects may be extended, shortened, or adjusted depending on scope and performance
• Work will not involve access to confidential or proprietary information from any employer, client, or institution

About the Platform

This 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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