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

Northbay Health; Fairfield (CA); Hybrid; USD 45,000 - 65,000; Full time

Job summary

NorthBay Health is seeking an Account Representative in Patient Financial Services to manage the timely follow-up of commercial accounts across an assigned split. You will process diverse patient accounts, resolve inquiries, and drive accounts from initial billing to zero balance or collection agency assignment, ensuring regulatory compliance and accuracy.

Ideal candidates have hospital billing experience, strong communication skills, and proficiency with billing systems.

Qualifications

• High school graduate or equivalent preferred.
• College courses with an emphasis on Business preferred.
• One year of inpatient billing and follow-up strongly preferred.
• Three years of hospital billing and follow-up, or one year with two years physician billing and follow-up.

Responsibilities

• Responsible for timely, accurate follow-up of all Commercial accounts within their assigned alpha split.
• Process accounts for all patient types, resolve calls and correspondence related to accounts.
• Work accounts from initial billing until zero balance or assignment to a collection agency.
• Understand payor contracts and manage billing in compliance with Knox-Keene regulations.

Skills

Claims processing

Payor contracts knowledge

Knox-Keene regulations

Prioritization

Accurate processing

Problem solving

Medical terminology

Team player

Effective communication

PC & spreadsheet skills

Education

High school diploma or equivalent

Business courses preferred

Tools

Billing software

Shared drives / public folders

Job description

Job Description

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.

Job Description

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 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.

Interpersonal Skills and Values

Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 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, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.