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

NorthBay Healthcare Corporation • Fairfield, CA

24d • Hybrid

About The Position

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.

Requirements

• 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.
• 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.
• Must have a private, distraction-free area in your home for work (HIPAA reasons).
• 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.

Nice To Haves

• Candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California.

Responsibilities

• 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.
• Timely and accurate billing, follow-up and collection of ambulatory patient accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED