Patient Account Representative III Pro Fee; On-Site, Hybrid, Remote

Job Description

Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to North Bay Campuses in Fairfield California.

Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to North Bay Campuses in Fairfield California.

Candidates must be available schedule 7am
-5pm PST

At North Bay 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 North Bay Ambulatory practices through the use of standard and North Bay prescribed billing practices and regulatory requirements.

• Education:
  
  High school graduate or equivalent preferred. College courses with emphasis on Business preferred.
• Licensure/Certification:
  None
• 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.

• Days,Monday through Friday as assigned based on business need. Candidates must be available schedule 7am
  -5pm PST

Job is classified as onsite, hybrid

• Must have a private, distraction-free area in your home for work (HIPAA reasons).
• Web-cam training will be used frequently for team engagement.
• Internet Requirements:
  Must have high speed internet.
• Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer.

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.

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.

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 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…