What are the responsibilities and job description for the Patient Account Representative III Hospital Billing Unit (On-Site/Hybrid) position at Northbay?
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.
Qualifications:
- Education: High school graduate or equivalent preferred. College courses with 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 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 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.
- 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.
Hours of Work: 8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.