Patient Account Representative III, Pro Fee

NorthBay Solutions

Patient Account Representative overseeing billing and collections for ambulatory patient accounts. Responsible for processing accounts within NorthBay's Ambulatory practices.

Posted 7/24/2026full-timeFairfield • California • 🇺🇸 United StatesMid-LevelSenior💰 $33 - $39 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in billing and collections for ambulatory patient accounts, with proficiency in CPT4, HCPCS, and ICD-10 coding. Capable of effectively managing claims processing and follow-up in compliance with Medicare, Medi-Cal, and commercial insurance regulations.

Highest-signal resume keywords

Billing And Collections ExperienceCPT4 CodingICD-10 CodingMedicare And Medi-Cal ProficiencyClaims Processing

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Billing PracticesRegulatory RequirementsUB-04 Claim FormsHCFA 1500 Claim FormsAccount Follow-Up ResolutionMedical Terminology

Soft Skills

Problem SolvingAdaptabilityAnalytical Skills

Industry Keywords

Multi-Specialty PracticeAmbulatory Care

About the role

Key responsibilities & impact

Timely and accurate billing, follow-up, and collection of ambulatory patient accounts.
Process accounts for all services and specialties offered within the NorthBay Ambulatory practices.
Use of standard and NorthBay prescribed billing practices and regulatory requirements.

Requirements

What you’ll need

High school graduate or equivalent preferred. College courses with emphasis on Business preferred.
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.
Knowledge of medical terminology.
Ability to perform several different types of tasks each day and to adapt to changing priorities.
Must have a private, distraction-free area in your home for work (HIPAA reasons).

Benefits

Comp & 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