AR Follow-Up Representative

About the role

The A/R Follow Up Hospital Representative will be responsible for reviewing outstanding accounts, resolving payment issues, and working closely with the Billing Coordinator to ensure accurate claim submissions.

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. 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.

Benefits

• Competitive wages and comprehensive benefits
• Generous paid time off (PTO)
• 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
• Recognition programs, including the DAISY Nursing Award for excellence

Pay

Competitive wages based on experience and qualifications.

Schedule

Full-time position with flexible scheduling to accommodate patient needs.

Avita Health System is an Equal Opportunity Employer