A/R Follow-Up Hospital Representative

About the role

The A/R Follow Up Hospital Representative will be responsible for reviewing outstanding accounts for assigned payers and taking appropriate action to resolve issues preventing or delaying payment, including appealing denials. They will also work closely with the Billing Coordinator to ensure initial claims are submitted correctly.

Responsibilities

• 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

• 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.
• Associate degree or in the process of obtaining.
• AHAM 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

Location

Avita Health System – Crestline – Patient Financial Services Department

Avita Health System is an Equal Opportunity Employer