Remote | Insurance Verification and Benefits Eligibility Consultant — Up to $80/hour

We 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 Responsibilities Professionals in this role may contribute to: Insurance Verification & Eligibility Review Review insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers Evaluate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance Assess coverage information gathered through payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions Identify coordination of benefits issues, coverage gaps, eligibility discrepancies, missing payer details, or inaccurate AI-generated coverage conclusions Front-End Revenue Cycle Workflow Evaluation Review front-end revenue cycle workflows involving pre-service verification, benefit checks, coverage validation, payer requirements, and claim denial prevention Evaluate recommendations related to eligibility-related denial reduction, turnaround time improvement, verification accuracy, and process standardization Assess whether outputs align with Medicare, Medicaid, commercial payer, managed care, CMS, and payer-specific eligibility requirements Review KPIs such as verification accuracy rates, eligibility-related front-end denial rates, turnaround times, and workflow performance Structured Feedback, Compliance & Quality Control Annotate AI-generated insurance verification and eligibility outputs and provide structured feedback to support quality improvement Evaluate content for alignment with HIPAA, payer-specific requirements, CMS guidelines, and front-end revenue cycle best practices Explain review decisions clearly, consistently, and with strong patient access and revenue cycle judgment Follow detailed task instructions, quality criteria, and project-specific review guidelines accurately Ideal Profile Strong candidates may have: 5+ years of experience in insurance verification, eligibility and benefits management, patient access, front-end revenue cycle operations, or related healthcare workflows At least 2 years of experience in a management, team lead, supervisor, or operational oversight role Expert knowledge of EDI 270/271 transactions, payer portal navigation, clearinghouse workflows, and real-time eligibility tools Strong familiarity with Medicare, Medicaid, commercial payer, and managed care eligibility requirements and benefit structures Proficiency with EHR platforms such as Epic, Cerner, Meditech, or similar systems Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar tools Exceptional written and verbal English communication skills High attention to detail and ability to identify subtle discrepancies in coverage data, payer responses, and AI-generated eligibility outputs Educational Background Professional 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 relevant Experience in hospitals, health systems, physician groups, patient access departments, payer-facing workflows, or multi-payer revenue cycle environments may be especially valuable Practical experience with EHR systems, payer portals, clearinghouses, eligibility tools, verification workqueues, and denial prevention workflows may support project fit Formal education in healthcare administration, business, health information management, finance, or a related field may be relevant depending on project scope Nice to Have CHAM, CHAA, CRCR, or similar patient access or front-end revenue cycle certification Experience with automated eligibility verification tools, RPA solutions, or front-end revenue cycle technology platforms Background in denial root cause analysis related to eligibility, coordination of benefits, coverage errors, or registration issues Familiarity with AI tools and comfort evaluating AI-generated healthcare eligibility or coverage content Experience developing eligibility verification SOPs, benefits investigation workflows, payer reference guides, or front-end revenue cycle performance reports Experience presenting eligibility performance data, denial trends, or workflow improvement recommendations to senior leadership Why This Opportunity Apply insurance verification and eligibility expertise to structured remote healthcare project work Contribute to high-quality AI-assisted front-end revenue cycle workflow evaluation Use payer portal, clearinghouse, EDI 270/271, and benefits investigation knowledge in a focused review environment Work on flexible assignments aligned with patient access, eligibility verification, coverage review, and denial prevention 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 $80 per hour depending on insurance verification experience, eligibility and benefits expertise, leadership background, 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. 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