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

At Northbay Health, the Patient Financial Services is responsible for the timely, accurate, and follow-up of all Commercial accounts within their assigned alpha split. Each account rep is responsible for the processing of accounts of all patient types, resolving phones calls and correspondence related to their accounts, and working accounts from initial billing until zero balance or assignment to a collection agency, in accordance with standard billing practices and in compliance with regulatory policies and requirements.

Education

• High school graduate or equivalent preferred.
• College courses with an emphasis on Business preferred.

Experience

• One year of experience in inpatient hospital billing and follow-up strongly preferred.
• Three years of experience in hospital billing and follow-up, or one year of experience in hospital billing and follow-up with two years of physician billing and follow-up required.

Skills

• Ability to quickly master computer programs related to claims processing.
• Ability to understand the terms of payor contracts.
• Ability to understand Knox-Keene regulations and demonstrate an understanding of managed care concepts and terminology.
• Ability to effectively prioritize work and 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 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.
• Ability to communicate effectively and pleasantly with members, providers, payors, and internal staff.
• Willingness to work as a team player with co-workers, other internal staff, and people outside Northbay Health.

Hours of Work

• Eight hours per day.
• Consistent attendance and work during the agreed-upon hours of work is required.

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.