AR Follow-Up Specialist – Hospital Claims & Denials

Avita Health System; Crestline (OH); Vor Ort; USD 35.000 - 55.000; Vollzeit

Benefits dieser Stelle

Competitive wages

Comprehensive benefits

PTO

Health insurance

Dental insurance

Vision insurance

403(b) match

Paid parental leave

On-site parking

Growth opportunities

Recognition programs

Zusammenfassung

Avita Health System in Crestline, OH seeks an AR Follow Up Hospital Representative to join the Patient Financial Services Department. The role reviews outstanding accounts with payers, resolves payment issues, and collaborates with Billing Coordinator to ensure accurate initial claims.

Qualified candidates will meet regulatory compliance requirements (HIPAA, ABN rules) and have knowledge of payer rules; preferred associates degree and certification.

Qualifikationen

• Fully knowledgeable of regulatory compliance requirements including HIPAA, Medicare Secondary Payer Screening, medical necessity screening and ABN rules.
• Knowledge and understanding of AHS managed care payer rules.

Aufgaben

• Review outstanding accounts for assigned payer and take action to resolve issues delaying payment.
• Appeal denials and ensure initial claims are submitted correctly.
• Respond to inquiries and requests from various sources related to hospital claims and account processing.

Kenntnisse

HIPAA compliance

Regulatory compliance

Ausbildung

Associate degree or in progress

Jobbeschreibung

Avita Health System in Crestline, OH seeks an AR Follow Up Hospital Representative to join the Patient Financial Services Department. The role reviews outstanding accounts with payers, resolves payment issues, and collaborates with Billing Coordinator to ensure accurate initial claims.

Qualified candidates will meet regulatory compliance requirements (HIPAA, ABN rules) and have knowledge of payer rules; preferred associates degree and certification.