Accounts Receivable Follow-Up Specialist
13 days ago
Oak Brook
Job DescriptionSalary: 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, youll 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. remote work