AR Follow-Up Representative

Avita Health System; Crestline (OH); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

403(b) retirement plans with up to 4%

Competitive wages and comprehensive:

Paid time off (PTO)

Free on-site parking

Opportunities for growth

DAISY Nursing Award recognition

Job summary

Avita Health System in Crestline, Ohio seeks an AR Follow Up Hospital Representative to join our Patient Financial Services team. You will review outstanding accounts, work with payers, and help resolve denials, ensuring accurate initial claims submissions and responsive member inquiries.

Qualified candidates have knowledge of HIPAA compliance, payer rules, and hospital billing procedures; preferred candidates may have an associate degree and HFMA/AAHAM certification.

Qualifications

• Regulatory compliance knowledge including HIPAA, Medicare Secondary Payer, ABN rules, Red Flag Rules, and billing/code compliance.
• Understanding of AHS managed care payer rules.

Responsibilities

• Review outstanding accounts for assigned payers and take actions to resolve issues delaying payment; assist with denials appeals; ensure accurate initial claims prior to submission; respond to inquiries related to hospital claims and account processing.

Skills

Regulatory compliance

Payer rules knowledge

Education

Associate degree or in progress

HFMA/AAHAM certification (preferred)

Hospital billing experience (preferred)

Job description

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.

AR Follow-Up Representative

Crestline, OH, US

8 days ago Requisition ID: 12367

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 Crestline location.

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:

• A collaborative and engaged workplace culture
• Competitive wages and comprehensive benefits
• Generous paid time off (PTO) to support work-life balance
• Health, dental, and vision insurance options
• 403(b) retirement plans with up to 4% employer match
• Paid parental leave
• Pharmacy discounts for employees
• Free on-site parking
• Opportunities for professional growth and internal advancement
• Recognition programs, including the DAISY Nursing Award for excellence

Join a team that values your contributions and supports your career journey every step of the way.

Avita Health System is an Equal Opportunity Employer.

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 Crestline location.

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 sides, your work matters here.

What You Can Expect at Avita:

• A collaborative and engaged workplace culture
• Competitive wages and comprehensive benefits
• Generous paid time off (PTO) to support work-life balance
• Health, dental, and vision insurance options
• 403(b) retirement plans with up to 4% employer match
• Paid parental leave
• Pharmacy discounts for employees
• Free on-site parking
• Opportunities for professional growth and internal advancement
• Recognition programs, including the DAISY Nursing Award for excellence

Join a team that values your contributions and supports your career journey every step of the way.

Avita Health System is an Equal Opportunity Employer.

Location: Avita Health System – Crestline – Patient Financial Services Department

Monday - Friday 8:00a - 4:30p
80 hours per pay