Accounts Receivable Follow-Up Specialist
Accounts Receivable Follow-Up Specialist
Location: Remote (WFH)
Employment Type: Full-Time
About the Role
JorieAI is seeking a highly skilled Accounts Receivable (A/R) Follow-Up Specialist with deep expertise in Medicare and healthcare revenue cycle management. This role is pivotal in ensuring timely resolution of denials, appeals, rejections, and rebilling processes across multiple payors, with a primary focus on Medicare.
The ideal candidate is detail-oriented, highly self-motivated, and comfortable working independently in a remote environment while maintaining accountability and meeting performance goals.
Key Responsibilities
- Perform A/R follow-up on outstanding claims across hospital, physician, inpatient, outpatient, and ambulatory settings.
- Manage and resolve denials/appeals, claim edits, rejections, and rebilling with precision and timeliness.
- Work extensively with Medicare accounts, ensuring compliance with all guidelines.
- Navigate and resolve issues with other payors (experience helpful, but less extensive required).
- Utilize Meditech and Waystar systems to track, review, and manage claims efficiently.
- Apply working knowledge of Novitas payor processes (preferred, not required).
- Generate reports and track trends using Microsoft Excel and MS Office Suite.
- Communicate effectively with internal teams, external payors, and providers to resolve discrepancies.
- Work independently in a remote setting while meeting performance standards and deadlines.
Qualifications
- Minimum 5 years of A/R follow-up experience, with a strong focus on denials, appeals, claim edits, rejections, and rebilling.
- 5+ years of Medicare (Mcare) experience is a MUST.
- Experience with other payors is desirable but not required at the same depth.
- Proven proficiency with Meditech and Waystar systems.
- Exposure to Novitas processes is a plus.
- Strong working knowledge of hospitals, physician, inpatient, outpatient, and ambulatory billing required.
- Proficiency in Excel and Microsoft Office tools.
- Demonstrated ability to work from home effectively with minimal supervision.
Preferred Skills
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication.
- Ability to multitask in a fast-paced, deadline-driven environment.
- Familiarity with trends in healthcare reimbursement and regulatory requirements.
Why Join JorieAI?
At JorieAI, you’ll be part of an innovative team redefining revenue cycle management with cutting-edge technology and operational excellence. We value autonomy, accountability, and professional growth, providing the opportunity to contribute meaningfully while working in a flexible remote environment.
Must be legally authorized to work in the USA. No Contractors, No C2C, No Visa Sponsorship
No recruiting agencies.
Location & Hours:
Remote in USA Only
Mon-Fri 8:00 AM to 5:00 PMCST
Flexible working hours may be required based on business
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