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Billing Insurance Jobs in Raleigh, NC (NOW HIRING)

The role supports specialized insurance and billing operations, requiring close attention to payer guidelines, regional differences, and accurate claim follow-up. This position offers strong training ...

Billing Specialist

Raleigh, NC ยท Hybrid

$17 - $23/hr

As a Billing Specialist at RK&K you have the choice of working hybrid from our offices in either ... Health, dental, vision, life and disability insurances * Paid parental leave * Wellness programs ...

Medical Billing Manager

Raleigh, NC ยท On-site

$47K - $62K/yr

Position Summary Responsible for the billing team leadership, subject matter expertise, and ... insurance payers, patients, and NHC staff to resolve issues. 6. Customer service skills for ...

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Billing Insurance information

See Raleigh, NC salary details

$13

$18

$27

How much do billing insurance jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for billing insurance in Raleigh, NC is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $14.95 and $21.25 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as a billing insurance specialist?

To thrive as a Billing Insurance Specialist, you need a solid understanding of medical billing codes, insurance policies, and claims processing, typically supported by a certificate in medical billing or healthcare administration. Familiarity with billing software (such as Epic, Kareo, or Medisoft) and electronic health records is commonly required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These competencies are crucial for ensuring accurate claim submissions, minimizing denials, and maintaining steady revenue flow for healthcare organizations.

What is the difference between Billing Insurance vs Claims Processor?

AspectBilling InsuranceClaims Processor
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification may be required
Work EnvironmentMedical offices, insurance companiesInsurance companies, healthcare facilities
Primary ResponsibilitiesGenerate bills, verify insurance coverageReview and process insurance claims
Industry UsageHealthcare, insuranceInsurance, healthcare

Billing Insurance focuses on creating and managing patient bills and verifying coverage, while Claims Processors handle reviewing and processing insurance claims for reimbursement. Both roles require similar credentials and work in related environments, but their core tasks differ within the insurance and healthcare industries.

What does a billing insurance specialist do?

A Billing Insurance specialist is responsible for managing and processing insurance claims for healthcare providers or organizations. They review patient medical records, prepare and submit insurance claims, and follow up with insurance companies to ensure timely and accurate reimbursement. Additionally, they address claim denials, resolve discrepancies, and often communicate with patients regarding their insurance coverage. This role requires attention to detail, knowledge of medical coding, and familiarity with insurance policies and regulations.

What are common challenges faced by professionals in billing insurance, and how can they be managed?

Professionals in Billing Insurance often encounter challenges such as navigating complex insurance policies, handling claim denials, and maintaining up-to-date knowledge of changing regulations. Effective management of these issues typically involves strong attention to detail, proactive communication with both patients and insurance providers, and ongoing education through training or industry updates. Many organizations also encourage collaboration with other departments, such as patient services and coding specialists, to resolve discrepancies and ensure accurate billing. Staying organized and adaptable is key to success in this dynamic environment.

Is it hard to get hired as a billing insurance?

Getting hired as a billing insurance specialist typically requires attention to detail, knowledge of medical billing procedures, and familiarity with billing software. While some entry-level positions are available, advanced roles may require certifications such as CPC or CPC-H and relevant experience, which can influence the ease of employment.

What is billing work in insurance?

Billing work in insurance involves processing and submitting claims for reimbursement, verifying coverage, and ensuring accurate coding of services. Insurance billing specialists use tools like billing software and must understand insurance policies and coding standards to facilitate timely payments.
Infographic showing various Billing Insurance job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $38,895 per year, or $18.7 per hour.

EMS Billing & Insurance Specialist

Harnett County, NC

Lillington, NC โ€ข On-site

$44K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago


Job description

Salary: See Position Description
Location : Lillington, NC
Job Type: Full-Time Regular
Job Number: EMS 2463
Department: EMS
Opening Date: 08/06/2026
Closing Date: 8/20/2026 2:00 PM Eastern
POSITION SUMMARY
An employee in this position performs a variety of clerical and technical work of an accounting nature in the Emergency Services Administration (Division) of Harnett County Emergency Services (Department). This includes: entering and processing information for billing and collections; using computerized data entry equipment to prepare bills for invoicing clients and insurance; entering ambulance call report data into computer files; sending and filing invoices; typing; and maintaining files of a variety of records, reports, documents, and correspondence.
Hiring Salary: $44,604.00
DUTIES AND RESPONSIBILITIES
ESSENTIAL FUNCTIONS OF THE POSITION:
  • Answers telephone and receives inquiries; provides information based upon detailed knowledge of Department operations; or refers caller to proper official.
  • Utilizes computerized data entry equipment and various word processing, spreadsheet, database and/or file maintenance programs; enters, stores, and/or retrieves information as requested or otherwise necessary; compiles and/or manipulates data from various sources to prepare a variety of statistical and narrative reports and other documentation; prints, electronically transmits, submits, copies, and/or files reports and records according to established procedure or as requested; and prepares backup copies of computer files in accordance with established procedures.
  • Composes and/or types a variety of correspondence, reports, meeting notes, lists, labels, forms, etc. from typed or handwritten copy.
  • Produces photocopies of correspondence, records, reports, and other documents; sorts and distributes or files copies as appropriate; establishes and maintains a variety of tangible files, filing, retrieving and/or discarding material as requested or as otherwise necessary.
  • Serves as backup for the Transportation Coordinator as needed for coverage.
  • Picks up mail; takes mail out; opens mail; scans and records date; and puts into Laserfiche.
  • Deposits checks; processes credit card payments including those made by phone.
  • Receives and processes ambulance call records; processes wheel chair claims; enters data into computer files; generates invoices; mails to clients, private insurance carriers, and/or Medicare and Medicaid, as appropriate.
  • Prepares correspondence or places telephone calls to patients or insurance carriers to verify or obtain information; inquires about payments or discrepancies in bills, etc.; processes payments; and processes payment refunds, as appropriate.
  • Establishes and maintains accounts for Department; records business transactions concerning patient billing and insurance receipts in computer files, journals, ledgers, and on special forms; posts revenues to proper patient accounts; balances cash and ambulance call reports to prepare transaction reports; balances and reconciles receipts; and closes out accounts at end of months and fiscal year.
  • Handles bankruptcy notices for bills.
  • Pulls bank ACHs and reconciles payments in billing software.
  • Attends seminars, conferences, workshops, classes, lectures, etc., as appropriate, to enhance and maintain knowledge of trends and developments in emergency services billing and collection program administration.
  • Handles confidential and sensitive information in an appropriate manner.
  • Works in Emergency Operations Center during activations.
  • Assists supervisor with other office tasks.
  • Performs other related duties as assigned.

MINIMUM QUALIFICATIONS
MINIMUM REQUIREMENTS TO PERFORM WORK:
  • High school diploma;
  • Two (2) years of secretarial/clerical work experience including bookkeeping and preferably with some experience in medical billing and collections;
  • Or equivalent education and/or experience; and
  • Possession of a valid North Carolina driver's license.
KNOWLEDGE, SKILLS, and ABILITIES:
  • Knowledge of the organization, operation, programs, and policies of the Department.
  • Knowledge of billing and collection policies and procedures.
  • Knowledge of safety and housekeeping standards.
  • Knowledge of established bookkeeping and accounting principles and techniques regarding governmental accounting transactions.
  • Knowledge of modern office practices and procedures.
  • Knowledge of spelling, punctuation, format and grammar.
  • Knowledge of basic medical terminology.
  • Skill in using computers and common office machines.
  • Skill in using Department software including word processing, spreadsheet and file maintenance programs.
  • Skill in typing accurately at an average rate of speed.
  • Ability to analyze and record information.
  • Ability to balance figures.
  • Ability to operate a two-way radio.
  • Ability to make minor administrative decisions in accordance with laws, ordinances, regulations, and Department policies and procedures as related to job duties.
  • Ability to maintain a variety of complex clerical records and to compile data from such records.
  • Ability to exercise considerable tact and courtesy in frequent contact with insurance carriers, medical professionals, patients, and the general public.
  • Ability to establish and maintain effective working relationships as necessitated by work assignments.
  • Ability to meet deadlines.
  • Ability to anticipate work to be done and initiate direction to complete it.
  • Ability to analyze and solve problems.

SUPPLEMENTAL INFORMATION
PHYSICAL DEMANDS:
Must be able to perform light work frequently exerting up to 10 pounds of force to lift, carry, push, pull, or otherwise move objects; and occasionally requiring to exert up to 20 pounds of force to move objects. This work also involves the physical abilities of balancing, grasping, perceiving sounds at normal speaking levels, discriminating among sounds, having manual dexterity, using mental acuity, reaching, performing repetitive motion, speaking, expressing ideas by the spoken word, and walking. An incumbent must also possess the visual acuity to analyze data, work with color, and operate motor vehicles or computer equipment.
WORK ENVIRONMENT:
The employee works in an office setting.
Harnett County takes pride in offering an excellent benefit package including health, dental, vision and life insurance, membership in the North Carolina Local Government retirement, free health clinic for employees and anyone in their household and other benefits. To see more information about the benefits offered by Harnett County, click
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