AR Follow-Up Representative

Avita Health System•Crestline, OH

1d•Onsite

About The Position

Avita Health System is seeking an A/R Follow-Up Hospital Representative to join its Patient Financial Services Department at the Crestline location. The representative reviews outstanding accounts for assigned payers and takes appropriate action to resolve issues that prevent or delay payment, including appealing denials. The role works closely with the Billing Coordinator to help ensure initial claims are submitted correctly and responds to inquiries and requests from various sources about hospital claims and account processing. Avita Health System serves communities in Crawford and Richland counties through three hospitals and numerous clinic locations. It employs more than 2,300 team members and over 200 physicians and advanced practitioners. The organization’s mission is to deliver high-quality, compassionate care.

Requirements

Be fully knowledgeable of and conduct all activities in accordance with regulatory compliance requirements, including HIPAA, 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.

Nice To Haves

Associate degree or be in the process of obtaining one.
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.

Responsibilities

Review outstanding accounts for assigned payers and take appropriate action to resolve issues preventing or delaying payment.
Appeal claim denials.
Work closely with the Billing Coordinator to help ensure initial claims are submitted correctly.
Respond to inquiries and requests about hospital claims and account processing.