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.

• 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