Lead, Patient Financial Services, Billing and Follow up

At NorthBay Health, the Lead, Patient Financial Services Billing and Follow-up provides advanced operational oversight and subject matter expertise supporting Supervisors and staff responsible for billing, follow-up, and collections of hospital patient accounts.

This role serves as a senior escalation resource and workflow leader, ensuring timely, accurate billing and follow-up activities across all major payer groups, including Medi-Cal, Medicare, and Commercial payers. The Lead is responsible for helping with daily performance, resolving complex accounts, ensuring regulatory compliance, and supporting revenue cycle outcomes including cash collections, denial prevention, and A/R reduction.

Acts as a liaison between frontline staff, Supervisors, and leadership to optimize workflows, standardize processes, and improve overall team performance.

PRIMARY JOB DUTIES

• Provide day-to-day operational leadership and support to supervisors and staff across billing and A/R follow-up functions.

• Serve as the primary subject matter expert (SME) for Medi-Cal, Medicare, and Commercial payer billing and follow-up, including payer-specific rules, reimbursement methodologies, and escalation pathways.

• Review and resolve complex or high-dollar accounts, including denials, underpayments, and aged A/R across all payer types.

• Monitor work queues and ensure timely billing, follow-up, and account resolution in alignment with departmental KPIs and regulatory requirements.

• Partner with supervisors to drive staff productivity, quality, and accountability for A/R performance, cash collections, and denial resolution.

• Analyze payer trends (Medi-Cal, Medicare, Commercial) to identify root causes of denials, delays, and underpayments; recommend and implement corrective actions.

• Ensure compliance with all federal and state regulations, including CMS guidelines, Medi-Cal requirements, and payer contract terms.

• Provide advanced training, education, and real-time coaching to staff and supervisors on billing processes, payer requirements, and system workflows.

• Assist supervisors with auditing staff performance, accounting quality, and documentation standards.

• Support the development and standardization of workflows, policies, and procedures related to billing and A/R follow-up.

• Collaborate with internal departments (coding, HIM, case management, customer service) and external stakeholders (payers, vendors) to resolve issues and improve revenue cycle performance.

• Function as escalation point for payer issues requiring advanced research, including appeals, reconsiderations, and payment discrepancies.

• Assist leadership in preparing reports, dashboards, and performance summaries related to A/R, denials, and cash collections.

• Support system optimization efforts (Epic, clearinghouses, payer portals) to improve efficiency and automation.

• Lead or participate in special projects focused on revenue cycle improvement, denial reduction, and cash acceleration.

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.

Why NorthBay Health

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.

NorthBay Health Benefits Options

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, a 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, and 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.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

More Information

Visit NorthBay Health Careers for recruitment FAQs and additional information.