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. Education Requirements • High School Diploma or equivalent. Experience Requirements • Minimum 5 years of experience in professional billing, with 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 & Competencies • Excellent oral and written communication skills. • Proficiency in PC applications, EMR/EHR, and billing systems. • Strong analytical skills with attention to detail. • Effective time management and ability to prioritize multiple tasks. • Strong customer service skills, with the ability to resolve concerns diplomatically. • Commitment to NorthBay's True North values. • Team-oriented mindset with a collaborative approach to problem-solving. • Ability to maintain professionalism and tact in all interactions. Performance Standards • Ensure timely and accurate billing, claim edits, and follow-up. • Apply sound analytical skills in researching and resolving claim issues. • Utilize all available resources, tools, and systems consistently. • Actively participate in team collaboration to overcome claim barriers. • Support special projects, attend meetings, and participate in training opportunities. • Meet assigned quality and productivity standards consistently. • Manage time effectively to achieve productivity requirements. • Adhere to departmental expectations regarding breaks, time-off requests, shift assignments, and attendance. • Maintain confidentiality and professional communication at all times. • Comply with facility-wide policies, safety guidelines, emergency protocols, applicable laws, and payer contracts. • Uphold professional standards in conduct and performance. • Demonstrate adaptability and willingness to assist in cross-functional initiatives as needed. Certification Requirement • All new hires will be required to complete the HFMA Certified Revenue Cycle Representative (CRCR) training course within the first nine (9) months of employment. • Membership, training, and certification costs will be sponsored by the employer.