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Billing Insurance Jobs in Raleigh, NC (NOW HIRING)

Billing Analyst II

Raleigh, NC · Hybrid

$23.42 - $29.30/hr

The Billing Analyst II is responsible for independently managing end-to-end billing processes ... Life insurance * 401(k) match * Flexible Spending/Health Savings Accounts * Tuition and gym ...

Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing ...

Billing Specialist

Morrisville, NC · On-site

$18 - $24.25/hr

Requisition Number: 228445 Cintas is seeking a Billing Specialist to reconcile invoices from ... and AD&D Insurance, 100% Company Paid • Paid Time Off and Holidays • Skills Development ...

Billing Specialist

Morrisville, NC · On-site

$18 - $24.25/hr

Requisition Number: 228445 Cintas is seeking a Billing Specialist to reconcile invoices from ... AD&D Insurance, 100% Company Paid Paid Time Off and Holidays Skills Development, Training and ...

Billing Specialist (Practice)

Cary, NC

$19.50 - $26.50/hr

Billing Specialist (Practice) RESPONSIBLE TO: Practice Manager JOB SUMMARY: This position will be ... Ensure that the correct provider, site, insurance, filing type, and referrals/authorizations are ...

Billing Specialist (Practice)

Cary, NC · On-site

$19.50 - $26.50/hr

Billing Specialist (Practice) RESPONSIBLE TO: Practice Manager JOB SUMMARY: This position will be ... Ensure that the correct provider, site, insurance, filing type, and referrals/authorizations are ...

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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 Jun 30, 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 are the key skills and qualifications needed to thrive as a Billing Insurance Specialist, and why are they important?

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 some common challenges faced by professionals in Billing Insurance, and how can they be effectively 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.
Infographic showing various Billing Insurance job openings in Raleigh, NC as of June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% 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.
Billing Specialist - Shared Services

Billing Specialist - Shared Services

Insurance Office of America

Cary, NC • On-site

$40K - $60K/yr

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.


Key responsibilities

  • Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing.

  • Collaborate with Account Management and internal teams to address billing questions, corrections, and discrepancies.

  • Review and verify EPIC data fields, including policy numbers, commissions, and related billing details before processing.


Insurance Office Of America rating

8.8

Company rating: 8.8 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

48th of 277 rated insurance


Job description

Description

Job Description:

Title: Billing Specialist – Shared Services 

Remote: candidates in Easter, Central or Mountain Time Zones | Supporting: Shared Services
Seeking: 2 years of billing and account support experience, EPIC experience preferred
Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations 
 

About the Role: The Billing Specialist is responsible for processing Agency Bill transactions, including premiums, taxes, fees, installments, and related billing activities. This role ensures accurate and timely transaction entry within EPIC, supports internal teams with billing inquiries, and maintains high standards of data accuracy and operational efficiency. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines. 

 
Key Responsibilities: 

  • Agency Bill Processing: Process Agency Bill transactions in EPIC, including premiums, taxes, fees, installments, split receivables, and wholesale billing. 

  • Transaction Execution: Generate and process transactions based on carrier invoices, rating sheets, allocation spreadsheets, and supporting documentation. 

  • Specialized Billing: Process pre‑bill transactions and surplus lines activity in accordance with business requirements and regulatory guidelines. 

  • Data Validation: Review and verify EPIC data fields, including policy numbers, commissions, ICO/PPE, and related billing details before processing. 

  • Billing Coordination: Collaborate with Account Management and internal teams to address billing questions, corrections, and discrepancies. 

  • Issue Resolution: Investigate and resolve billing issues, coordinating with appropriate departments and processing adjustments as needed. 

  • Documentation Management: Associate and manage documentation within EPIC activity codes to ensure accuracy and audit readiness. 

  • System Utilization: Navigate EPIC and utilize Microsoft Office tools (Outlook, Excel, Word) to support daily billing functions and communication. 

  • Turnaround & Quality Management: Deliver accurate work within established timelines while maintaining strong attention to detail and quality standards. 

  • Process Improvement: Identify opportunities to improve billing workflows, efficiency, and accuracy within agency billing processes. 

  • Champion IOA Values: Demonstrate integrity and leadership. 

Ideal Candidate Qualifications: 

  • Bachelor’s degree in Business, Accounting, Finance, or related field preferred; equivalent experience considered 

  • 2+ years of billing, accounting support, or customer service experience 

  • Experience with agency management systems (EPIC preferred) 

  • Strong attention to detail with the ability to manage high‑volume transactional work 

  • Proven analytical and problem‑solving skills 

  • Excellent verbal and written communication skills 

  • Proficiency in Microsoft Office applications, including Outlook, Excel, and Word 

  • Strong organizational, multitasking, and time‑management skills 

  • High level of personal integrity, accountability, and commitment to quality 

 
What We Offer: 

  • Competitive salaries and bonus potential 

  • Company-paid health insurance 

  • Paid holidays, vacations, and sick time 

  • 401K with employer match 

  • Professional growth and career progression opportunities 

  • Respectful culture and work/family life balance 

  • Community service commitment 

  • Supportive teammates and a rewarding work environment 

 
What to Expect (Application Process): 

  • 30-Minute Phone Screen, Online Assessments, and Interview(s) 

Salary Range

The expected pay range for this position is $40,000.00 - 60,000.00 annually, depending on experience, relevant skills, and geographic location.

Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


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