Sales Assistant
Pavago
Accounts Receivable Follow-Up Specialist
Jorie AI
full-time
Posted on:
Origin: • 🇺🇸 United States • Illinois
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
Requirements
- 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 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.
- Proficiency in Excel and Microsoft Office tools.
- Demonstrated ability to work from home effectively with minimal supervision.
- Must be legally authorized to work in the USA.
- No Contractors, No C2C, No Visa Sponsorship.
- No recruiting agencies.
- Remote in USA Only Mon-Fri 8:00 AM to 5:00 PM CST
