A/R Follow-Up Hospital Representative

Avita Health System

Crestline (OH)

In loco

USD 42.000 - 54.000

Tempo pieno

13 giorni fa

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Vantaggi offerti da questo lavoro

403(b) retirement with employer match

Paid time off (PTO)

Health, dental, vision insurance

Free on-site parking

Career growth opportunities

DAISY Nursing Award recognition

Descrizione del lavoro

Avita Health System in Crestline, OH is seeking an A/R Follow Up Hospital Representative to join the Patient Financial Services Department. You will review accounts, appeal denials, and respond to inquiries to ensure timely payment for hospital claims.

Preferred candidates have an Associate degree or are pursuing certification and experience in hospital billing. Avita offers competitive wages, comprehensive benefits, PTO, and opportunities for professional growth.

Competenze

Regulatory compliance with HIPAA and Medicare rules
Understanding of payer rules and denials processes
Ability to navigate third-party billing procedures

Mansioni

Review outstanding accounts for assigned payer and resolve issues delaying payment
Appeal denials and ensure correct submission of initial claims
Respond to inquiries related to hospital claims and account processing
Coordinate with Billing Coordinator to ensure accurate submissions

Conoscenze

Regulatory compliance knowledge

Payer rules understanding

Formazione

Associate degree (preferred)

Descrizione del lavoro

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

A/R Follow-Up Hospital Representative

Crestline, OH, US

3 days ago Requisition ID: 12327

Join Our Team at Avita Health System – Avita Health System - Crestline

Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we’ve tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us.

We’re currently seeking a dedicatedA/R Follow Up Hospital Representativeto join our Patient Financial Services Departmentat our Crestlinelocation.

Position Overview

Reviews outstanding accounts for assigned payer and takes appropriate action to resolve issues preventing or delaying payment, including appealing denials. Works closely with the Billing Coordinator to assure initial claims are submitted correctly. Responds to inquiries and requests from various sources related to hospital claims and account processing.

Qualifications

Required:

Fully knowledgeable of, and conducts all activities in accordance with regulatory compliance requirements, including but not limited to HIPAA rules and regulations, Medicare Secondary Payer Screening requirements, medical necessity screening and ABN rules, Red Flag Rules, and billing and coding compliance rules and regulations.
Knowledge and understanding of AHS managed care payer rules.

Preferred Qualifications:

Associate degree or in the process of obtaining.
AAHAM or HFMA certification, or active pursuit of certification.
Previous hospital billing experience and demonstrated knowledge of third-party billing procedures and claim review and analysis strongly preferred.

Why Join the Avita Health System Team?

At Avita, we’re committed to creating a supportive, inclusive, and empowering environment where every team member plays a vital role in delivering exceptional care to our communities. Whether you're on the front lines or behind the scenes, your work matters here.

What You Can Expect at Avita: