Representative - A/R Follow-Up

Avita Health System; Crestline (OH); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Health, dental, vision insurance

403(b) retirement plans with employer

Paid time off (PTO)

Paid parental leave

Free on-site parking

Professional growth opportunities

DAISY Nursing Award recognition

Job summary

Avita Health System in Crestline, OH is seeking an A/R Follow-Up Hospital Representative to join the Patient Financial Services team. The role involves reviewing outstanding hospital accounts, appealing denials, and coordinating with the Billing Coordinator to ensure proper submission of initial claims.

Qualified candidates will have strong knowledge of HIPAA, Medicare Secondary Payer screening, and payer rules.

Qualifications

• Knowledge of HIPAA rules, Medicare Secondary Payer screening, medical necessity screening and ABN rules, Red Flag Rules, and billing/coding compliance.
• Knowledge of Avita Health System managed care payer rules.

Responsibilities

• Review outstanding accounts for assigned payers and take steps to resolve payment issues or denials.
• Appeal denials in a timely manner and coordinate with Billing Coordinator to ensure correct initial claims submission.
• Respond to inquiries related to hospital claims and account processing from various sources.
• Support ongoing follow-up activities to optimize accounts receivable performance.

Skills

Regulatory compliance

Billing knowledge

Denials management

Education

Associate degree

AAHAM or HFMA certification in progress

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.

Representative - A/R Follow-Up

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

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 dedicated A/R Follow Up Hospital Representative to join our Patient Financial Services Department at 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.