AR Follow-Up Representative

Avita Health System; Crestline (OH); On-site; USD 39,000 - 52,000; Full time

Benefits offered by this job

Competitive wages

Generous paid time off

Health, dental, and vision insurance

403(b) retirement plan with up to 4%"

Paid parental leave

Free on-site parking

Opportunities for professional growth

DAISY Nursing Award recognition

Job summary

Avita Health System in Crestline, Ohio, is seeking an AR Follow Up Hospital Representative to join the Patient Financial Services Department. This role reviews outstanding accounts, resolves payment issues, and collaborates with the Billing Coordinator to ensure correct initial claim submission.

Qualified candidates will have HIPAA/compliance knowledge and familiarity with payer rules; a relevant associate degree and professional certification are preferred.

Qualifications

• Familiar with HIPAA, Medicare Secondary Payer, ABN rules and related billing compliance.
• Knowledge of AHS managed care payer rules.
• Previous hospital billing experience preferred.

Responsibilities

• Reviews outstanding accounts for assigned payer and resolves issues delaying payment, including appealing denials.
• Works with Billing Coordinator to ensure initial claims are submitted correctly.
• Responds to inquiries related to hospital claims and account processing.

Skills

HIPAA compliance

ABN rules

Billing compliance

Medicare payer rules

Managed care payer rules

Education

Associate degree in progress

AAHAM or HFMA certification

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

Regular Full-Time 5 - Admin Support Crestline, OH, US

2 days ago Requisition ID: 12059

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.

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

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