Patient Account Representative III, Hospital Billing Unit; On-Site, Hybrid, Remote

Position: Patient Account Representative III, Hospital Billing Unit (On-Site, Hybrid, Remote)
Job Description

At North Bay Health, the Patient Financial Services is responsible for the timely, accurate, and follow-up of all Commercial accounts within their assigned alpha split. Each account rep is responsible for the processing of accounts of all patient types, resolving phones calls and correspondence related to their accounts, and working accounts from initial billing until zero balance or assignment to a collection agency, in accordance with standard billing practices and in compliance with regulatory policies and requirements.

Work Location Requirement:

• This position may be performed onsite or remotely; however, onsite work is preferred based on business needs.
• Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.

Remote Work Eligibility:

• This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers' compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.

Qualifications

Education: High school graduate or equivalent preferred. College courses with emphasis on Business preferred.

Experience: One year of experience in inpatient hospital billing and follow-up strongly preferred. Three years of experience in hospital billing and follow-up, or one year experience in hospital billing and follow-up with two years of physician billing and follow-up required.

Skills: Ability to quickly master computer programs related to claims processing. Ability to understand the terms of payor contracts. 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.

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 North Bay.

Hours of Work: 8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.

About Us

Interpersonal Skills and Values

Demonstrates North Bay Health's True North Values:
Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why North Bay Health

North Bay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. North Bay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

North Bay Health Benefits Options

North Bay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

North Bay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1-5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work…