About this role
Help improve AI tools that support accounts receivable follow-up and payer collections. In this role, you will apply hands-on expertise in claim status follow-up, payer correspondence, and A/R management to evaluate AI-generated workflows that aim to reduce days in A/R and strengthen revenue recovery.
Key Responsibilities- Lead A/R follow-up operations for commercial, Medicare, Medicaid, and managed care payers, resolving outstanding claims promptly.
- Review AI-generated follow-up recommendations, claim-status inquiry results, and payer correspondence for accuracy and effectiveness.
- Manage electronic 276/277 claim-status inquiries, payer-portal follow-up, and phone-based resolution workflows.
- Prioritize A/R queues by aging bucket, payer, and dollar value to maximize collections.
- Investigate and resolve payment discrepancies, payer processing errors, and underpayments.
- Track days in A/R, aging-bucket distribution, collection rates, and write-off rates.
- Create payer-specific follow-up strategies that accelerate claim resolution.
- Maintain compliance with FDCPA, HIPAA, payer-specific follow-up requirements, and timely-filing requirements.
- Annotate AI outputs and provide structured feedback for AI training datasets.
- At least 5 years of experience in A/R follow-up, payer collections, or revenue cycle operations, including at least 2 years in a management role.
- Deep knowledge of claim-status follow-up, 276/277 EDI transactions, and payer-specific collections processes.
- Strong understanding of Medicare, Medicaid, and commercial claims processing and payment timelines.
- Experience managing high-volume A/R queues across multiple payers.
- Proficiency with billing systems and A/R management platforms.
- Exceptional written and verbal English communication skills.
- Strong attention to detail and the ability to identify payment errors and discrepancies in AI-generated A/R content.
- CRCR, CPC, or CHFP certification.
- Experience with revenue cycle technology platforms that offer automated A/R follow-up.
- Background in multi-payer follow-up operations within hospital or physician-group settings.
- Comfort using and evaluating AI-generated A/R follow-up content.
- Experience developing A/R reduction action plans and presenting performance results to leadership.
- Remote, hourly engagement.
- $75 per hour.
- Contribute to advanced healthcare AI work and gain exposure to emerging AI workflows in accounts receivable and revenue cycle management.