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Jorie AI · 4 months ago

Accounts Receivable Follow-Up Specialist

United States

Full-time

Remote

Mid, Senior Level

5+ years exp

JorieAI is seeking a highly skilled Accounts Receivable Follow-Up Specialist with expertise in Medicare and healthcare revenue cycle management. This role focuses on ensuring timely resolution of denials, appeals, rejections, and rebilling processes across multiple payors, primarily Medicare, while working independently in a remote environment.

Artificial Intelligence (AI)Financial ServicesHealth CareHospital

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

Qualification

Medicare experienceA/R follow-up experienceMeditech proficiencyWaystar proficiencyMicrosoft ExcelMicrosoft Office SuiteAnalytical skillsMultitasking abilityProblem-solving skillsWritten communicationVerbal communication