FULL_TIME

FEED

UNKNOWN

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. Notice to Recruitment AgenciesNorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements.

HOUR

At NorthBay Health, the Patient Account Representative II (PAR II) is responsible for the accurate and timely billing, follow-up, and collection of hospital and/or ambulatory patient accounts. This role ensures accounts are processed in accordance with standard and NorthBay-specific billing practices, as well as all applicable regulatory requirements. The PAR II manages patient accounts across multiple services and specialties within NorthBay Ambulatory practices and plays a key role in achieving optimal reimbursement outcomes and maintaining compliance with healthcare billing standards.Primary Job ResponsibilitiesPerform timely follow-up on accounts with practices, payers, and/or patients until a zero balance is achieved per contract and expected payment.Monitor and manage assigned accounts receivable to meet or exceed AR aging goals.Process all initial billing claims promptly, including resolution of edits.Address and resolve payer denials efficiently to maximize reimbursement.Assist with backlog work and other duties as assigned to support departmental needs.Participate in workload reassignment to address priority areas.Deliver outstanding customer service, managing conflict resolution effectively and responding promptly to verbal and written inquiries.Education: High School Diploma or equivalent preferred.Licensure / Certifications: All new hires will be required to complete the HFMA Certified Revenue Cycle Representative (CRCR) training course within the first nine (9) months of employment.Membership, training, and certification costs will be sponsored by the employee.Experience: Minimum 2 years of experience in professional and/or hospital billing, with in-depth knowledge of CPT, ICD, and HCPCS coding.Understanding of payer contracts, payment structures, and federal/state regulations.Proficiency with compliance and collection laws.Skills & CompetenciesExcellent oral and written communication skills.Proficient in PC applications, EMR/EHR, and billing systems.Strong analytical skills with attention to detail.Ability to work independently and within a team environment.Strong customer service skills with the ability to resolve concerns diplomatically.Interpersonal SkillsDemonstrates 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. Team-oriented mindset with a collaborative approach to problem-solving.Maintains professionalism, tact, and a pleasant demeanor in all interactions.Standards of Performance: Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality. Physical Effort: Attendance is an essential function of the job. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Compensation: $31.13 to $37.81 based on years of experience doing the duties of the role.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.About UsInterpersonal Skills and ValuesDemonstrates NorthBay 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 NorthBay HealthNorthBay 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. NorthBay 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.NorthBay Health Benefits OptionsNorthBay 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 StructureNorthBay 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 DisclosureNorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.Notice to Recruitment AgenciesNorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.More InformationVisit NorthBay Health Careers for recruitment FAQs and additional information.

Northbay Healthcare

Patient Account Representative II - Hospital Billing Unit (Onsite, Hybrid, Remote)

Accounts Receivable

Accounts Receivable Management

Acute Care

Analysis Skills

Billing

Cancer

Cardiovascular

Communication Skills

Compensation and Benefits

Conflict Resolution

Current Procedural Terminology (CPT)

Customer Support/Service

Detail Oriented

Electronic Medical Records

Exceeded Sales Goal

Federal Laws and Regulations

Frequently Asked Questions (FAQ)

Healthcare

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Reimbursement

High School Diploma

Hospital

International Classification of Diseases (ICD)

Interpersonal Skills

Maintain Compliance

Medical Billing

Medical Record System

Neonatal Intensive Care Unit (NICU)

Neuroscience

Nonprofit

Orthopedics

Patient Care

Physical Demands

Policy Development

Presentation/Verbal Skills

Primary Care

Problem Solving Skills

Procedure Development

Regulations

Regulatory Compliance

Regulatory Requirements

Reimbursement

Staff Requirements

State Laws and Regulations

Surgical Procedures

Team Player

Time Management

Urgent Care

Work From Home

Writing Skills

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. 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.

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. PRIMARY JOB DUTIESFollow up responsibility on accounts with practices, carriers and/or patients account becomes zero balances through a combination of payment and adjustments per NorthBay guidelines and contracts.Managing account population to ensure AR aging is meeting or exceeding set goals.Timely processing for billing all initial claims including those edited through the billing scrubber.Timely processing of carrier denials to ensure maximum cash benefit.Other duties as assigned which include assisting with back logs as they arise.Other duties as assigned which may include periodic reassignment of account workload to address specific areas.Customer Service. Continually present a tactful, pleasant, and professional manner both verbal and in writing. Handle conflict situations diplomatically and achieve resolution. Understand the intent of the message and be able to communicate clearly, all to provide an exceptional experience, each time. Respond to all inquiries whether verbal or written in a prompt and timely fashion.At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.Education: High school graduate or equivalent preferred. College courses with emphasis on Business preferred.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: Hourly Salary Range Min. $32.15 - $37.18 per hour (offered hourly rate based on years of experience)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.About UsInterpersonal Skills and ValuesDemonstrates NorthBay 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 NorthBay HealthNorthBay 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. NorthBay 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.NorthBay Health Benefits OptionsNorthBay 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 StructureNorthBay 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 DisclosureNorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.Notice to Recruitment AgenciesNorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.More InformationVisit NorthBay Health Careers for recruitment FAQs and additional information.

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Patient Account Representative II - Hospital Billing Unit (Onsite, Hybrid, Remote) Northbay Healthcare

Patient Account Representative III Pro Fee (Onsite, Hybrid, Remote) Northbay Healthcare

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