Under the direction of the Patient Financial Services Manager, the Patient Account Representative III (PAR-III) is responsible for accurate and timely billing, follow-up, and collection of ambulatory patient accounts.
The role ensures accounts are processed according to standard and NorthBay-specific billing practices, as well as applicable regulatory requirements. The PAR-III manages patient accounts across multiple services and specialties within NorthBay Ambulatory practices and contributes to optimal reimbursement outcomes while maintaining compliance with healthcare billing standards.
Primary responsibilities
- Perform timely follow-up on accounts with practices, payers, and/or patients until a zero balance is achieved per contract and payment expectations.
- Monitor and manage assigned accounts receivable to meet or exceed AR aging goals.
- Process initial billing claims promptly, including resolution of edits.
- Address and resolve payer denials efficiently to maximize reimbursement.
- Assist with backlogs and other duties as assigned to support departmental needs.
- Participate in workload reassignment to address priority areas.
- Deliver excellent customer service and manage conflict resolution professionally.
- Respond to verbal and written inquiries accurately and in a timely manner.
- Support special projects, meetings, and training opportunities as needed.
Requirements & Qualifications
Education
- High school diploma or equivalent.
Experience
- Minimum 5 years of experience in professional billing.
- 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 and competencies
- Excellent oral and written communication skills.
- Proficiency in PC applications, EMR/EHR, and billing systems.
- Strong analytical skills and attention to detail.
- Effective time management and ability to prioritize multiple tasks.
- Strong customer service skills and diplomatic conflict resolution.
- Team-oriented mindset with a collaborative approach to problem-solving.
- Ability to maintain professionalism and tact in all interactions.
- Ability to meet quality and productivity standards and adapt to cross-functional initiatives.
Certification
- New hires must complete HFMA Certified Revenue Cycle Representative (CRCR) training within the first 9 months of employment.
Benefits & Perks
Benefits and perks
- Medical, dental, and vision insurance
- Life, disability, and long-term care coverage
- Paid time off, including vacation, sick leave, holidays, and bereavement
- 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
- Market-based compensation review and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago