Patient Account Representative III - Professional Billing (Full Time, Day)

Under the direction of the Patient Financial Services Manager, the Patient Account Representative III (PAR-III) is responsible for the accurate and timely billing, follow-up, and collection of ambulatory patient accounts. This role ensures accounts are processed in accordance with standard and NorthBay-specific billing practices, as well as all applicable regulatory requirements. 

The PAR-III manages patient accounts across multiple services and specialties within NorthBay Ambulatory practices and plays a key role in achieving optimal reimbursement outcomes and 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 all 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 by maintaining a pleasant, professional demeanor and managing conflict resolution promptly.
• Respond to verbal and written inquiries accurately and in a timely manner.