Patient Account Representative II - Hospital Billing Unit (On-Site, Hybrid, Remote)

At NorthBay Health, the Patient Account Representative II (PAR II) is responsible for the accurate and timely billing, follow-up, and collection of hospital and/or 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 II 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 Job Responsibilities

• Perform timely follow-up on accounts with practices, payers, and/or patients until a zero balance is achieved per contract and expected payment.
• 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 backlog work and other duties as assigned to support departmental needs.
• Participate in workload reassignment to address priority areas.
• Deliver outstanding customer service, managing conflict resolution effectively and responding promptly to verbal and written inquiries.

Education: High School Diploma or equivalent preferred.

Licensure / Certifications:  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 employee

Experience: 

• Minimum 2 years of experience in professional and/or hospital 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.
• Proficient in PC applications, EMR/EHR, and billing systems.
• Strong analytical skills with attention to detail.
• Ability to work independently and within a team environment.
• Strong customer service skills with the ability to resolve concerns diplomatically.

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. 
• Team-oriented mindset with a collaborative approach to problem-solving.
• Maintains professionalism, tact, and a pleasant demeanor in all interactions.

Standards of Performance: Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality. 

Physical Effort:  Attendance is an essential function of the job. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation:  $31.13 to $37.81 based on years of experience doing the duties of the role.

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.

At NorthBay Health, we are guided by our values: Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care. 

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve. 

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute-care hospitals—including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)—along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health we are home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as “High Performing” in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit