Patient Account Representative III Pro Fee (Full Time, Day) at Northbay

Fairfield, California, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jul, 26

Salary

39.02

Posted On

03 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, Collections, CPT4, HCPCS, ICD-10, Medicare, Medi-Cal, Commercial insurance, HMO, PPO, UB-04, HCFA 1500, Medical terminology, Data analysis, Problem solving, Customer service

Industry

Hospitals and Health Care

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. PRIMARY JOB DUTIES * Follow 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. 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 https://www.northbay.org/careers/ [https://www.northbay.org/careers/index.cfm]

Responsibilities

The Patient Account Representative is responsible for the timely and accurate billing, follow-up, and collection of ambulatory patient accounts. They manage account populations to ensure AR aging goals are met while providing exceptional customer service to patients and carriers.