Supervisor, Professional Billing Patient Financial Services (On-Site/Hybrid)

Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield, California. Candidates must be available on a schedule of 7am - 5pm PST.

About the role

At NorthBay Health, the Supervisor, Billing and Follow Up supervises the business office functions involving the billing and follow-up of technical and professional charges generated by the outpatient hospital-based specialty departments. Acts as liaison to the hospital specialty departments. Responsible for evaluation, suggestion, and recommendation of policies and procedures. Supervisory responsibilities include training, business office operations, fiscal accountability, staffing, personnel management, and staff development. Assures compliance with regulatory requirements, facilitates communications, and provides effective leadership within the department. Coordinates and assists the management team for Patient Financial Services.

Responsibilities

• Supervise business office functions related to billing and follow-up of technical and professional charges.
• Act as liaison to hospital specialty departments.
• Evaluate, suggest, and recommend policies and procedures.
• Oversee training, business office operations, fiscal accountability, staffing, personnel management, and staff development.
• Ensure compliance with regulatory requirements.
• Facilitate communications and provide effective leadership within the department.
• Coordinate and assist the management team for Patient Financial Services.

Qualifications

• Education: A.A. or high school degree with equivalent in education/experience.
• Four years of hospital or physician billing & follow-up experience required.
• A minimum of one year of Medicare and/or Medi-Cal experience is required.
• At least one year in a leadership role is required; supervisory experience preferred.

Skills

Basic Skill Requirements (Expected at Hire):

• Ability to effectively lead and motivate specialty billing unit staff as well as internal staff within specialty departments.
• Ability to communicate clearly and effectively, both in listening, talking, and writing.
• Ability to master computerized claims processing programs quickly.
• Ability to master financial systems and assist with billing rules.
• Ability to relate cordially with co-workers, members, providers, and others.
• Knowledge of Government billing regulations, fee schedules, and correct coding edits.
• Knowledge of charge master file maintenance including CPT-4/HCPCS/pass-through codes and pricing.
• Knowledge of medical terminology.
• Knowledge of hospital and/or clinic and professional fee billing.
• Knowledge of ICD-10 and Revenue Codes.
• Knowledge of UB92 and HCFA 1500 Forms.
• Knowledge of Coordination of Benefits Rules.
• Knowledge of Knox-Keene regulations.
• Knowledge of managed care terminology (capitation, PPO, stop loss, etc.).
• Knowledge of business math (debits, credits, etc.).

Skills to be Learned within 90-Day Introductory Period:

• Knowledge of billing and follow-up procedures for the specialty area (Cancer Center, ABC Clinic, etc.).
• Knowledge of contract rates and government fee schedules specific to specialty departments and physicians.
• Knowledge of compliance and fraudulent billing practices.
• Knowledge of Medicare as Secondary Payer guidelines and regulations.
• Knowledge of Advanced Beneficiary Notices.
• Knowledge of Work Comp, Medi-Cal, and Medicare regulations and billing guidelines.
• Knowledge of the NorthBay computerized financial system and other systems such as the electronic billing system(s).

Other Requirements

• Must have a private, distraction-free area in your home for work (HIPAA reasons).
• Web-cam training will be used frequently for team engagement.
• Must have high-speed internet with a minimum download speed of 125 mbps or be willing to upgrade upon an offer.

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.

About Us

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.

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.

Benefits

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.
• 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.
• 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.