Patient Account Representative III Professional Billing Job Listing at NorthBay Healthcare in Fairfield, CA (Job ID 4278)

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. 

1. Education: High school graduate or equivalent preferred. College courses with emphasis on Business preferred.
2. Licensure/Certification: None
3. 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.
4. 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.
5. 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. 
6. Hours of Work:  8 hours per day.  Consistent attendance and work at the agreed upon hours of work is required.
7. Compensation: $31 to $37 per hour based on years of experience doing the duties of the role.