Patient Account Representative III Professional Billing

Job Description

At NorthBay Health, the Patient Account Representative III Ambulatory is responsible for the timely and accurate billing, follow-up and collection of ambulatory patient accounts. Each account representative is responsible for the processing of accounts for all services and specialties offered within the NorthBay Ambulatory practices through the use of standard and NorthBay prescribed billing practices and regulatory requirements.

Qualifications

• Education : High school graduate or equivalent preferred. College courses with emphasis on Business preferred.
• Licensure / Certification : Obtain an HFMA Certified Revenue Cycle Representative (CRCR) Certification within 9 months of start date.
• Experience : Three to five years of recent professional fee billing and collections experience, preferably in a multi-specialty practice environment required. Familiarity with use of CPT4, HCPCS and ICD-10 coding. Proficiency in Medicare, Medi-Cal and Commercial insurance plans, both HMO and PPO. Experience with UB-04 and / or HCFA 1500 claim forms billing. Experience in account follow up resolution for both electronic and manual claims. Demonstrated ability to effectively investigate, analyze and problem solve. Demonstrated service and success in teamwork and consistent high productivity and quality.
• Skills : Ability to quickly master computer programs related to claims processing. Ability to understand the terms of payor contracts and fee schedules. Ability to understand Knox-Keene regulations as well as demonstrate an understanding of managed care concepts and terminology. Ability to effectively prioritize work, as well as the ability to process accounts quickly to meet deadlines. Ability to process claims accurately and timely. Ability to exercise appropriate, independent judgment and effectively solve problems. Knowledge of medical terminology. Ability to perform several different types of tasks each day and to adapt to changing priorities. Knowledge of personal computers with an emphasis on public folders, shared drives, Internet, and downloading and sorting spreadsheets and word processing programs required.
• Interpersonal Skills : Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture / Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Ability to communicate effectively and pleasantly to members, providers, payors and internal staff is essential. A willingness to work as a team player with co-workers and other internal staff, as well as people outside NorthBay.
• Hours of Work : 8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.
• Compensation : $31 to $37 per hour based on years of experience doing the duties of the role.

About Us

At NorthBay Health, we are guided by our values : Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care.

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve.

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa / Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute-care hospitals-including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)-along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health we are home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as "High Performing" in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit