Hospital AR Follow-Up Specialist

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

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.