Patient Account Representative, Billing (On-Site, Hybrid, Remote)

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.

Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield, CA.

Candidates must be available schedule 7am- 5pm PST.

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

Other Requirements:

• 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.

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.