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Hospital Accounting Jobs in Raleigh, NC (NOW HIRING)

Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading ... EOE Licensure Not Applicable Education Bachelor's Degree Finance Or Accounting Or Related Field ...

Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading ... EOE Licensure Not Applicable Education Bachelor's Degree Accounting Required - Or Bachelor's Degree ...

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Hospital Accounting information

See Raleigh, NC salary details

$12

$21

$29

How much do hospital accounting jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for hospital accounting in Raleigh, NC is $21.46, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $23.85 per hour, depending on experience, location, and employer.

What is hospital accounting?

Hospital accounting refers to the specialized field of accounting that manages and tracks the financial activities of a hospital or healthcare facility. It involves recording, analyzing, and reporting financial transactions such as patient billing, insurance claims, payroll, and operating expenses. Hospital accountants ensure compliance with healthcare regulations, maintain accurate financial records, and support budgeting and financial planning. Their work is crucial for maintaining the financial health and transparency of the hospital.

What are the key skills and qualifications needed to thrive as a hospital accountant?

To thrive as a Hospital Accountant, you need strong expertise in accounting principles, financial analysis, and healthcare regulations, usually supported by a degree in accounting or finance. Familiarity with hospital financial systems like Meditech, QuickBooks, or Epic, as well as certifications such as CPA, is highly valuable. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with medical and administrative staff. These skills are crucial for maintaining financial integrity, compliance, and efficient resource management within a complex healthcare environment.

What are some common challenges faced by professionals working in hospital accounting, and how can they be managed?

Hospital accounting professionals often encounter challenges such as navigating complex billing systems, staying updated with ever-changing healthcare regulations, and reconciling large volumes of transactions. Managing these challenges typically involves ongoing training in compliance standards, effective use of healthcare accounting software, and close collaboration with clinical and administrative staff to ensure accurate financial reporting. Proactive communication and attention to detail are key to successfully managing these responsibilities and maintaining financial integrity within the hospital environment.

What is the difference between Hospital Accounting vs Medical Billing?

AspectHospital AccountingMedical Billing
CredentialsAccounting degree, CPA (optional)Medical coding certification, CPC or equivalent
Work EnvironmentHospitals, healthcare finance departmentsMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, healthcare organizationsMedical practices, billing services
Primary FocusFinancial management, budgeting, accounting recordsProcessing insurance claims, coding, billing patients

Hospital Accounting focuses on managing the financial records and budgets of healthcare facilities, ensuring compliance and accurate reporting. Medical Billing involves coding patient services and submitting claims to insurance companies. Both roles are essential in healthcare finance but serve different functions within the industry.

What does a hospital accountant do?

A hospital accountant manages financial records, prepares budgets, processes billing and payments, and ensures compliance with healthcare regulations. They use accounting software and often work closely with hospital administration to monitor financial performance and support fiscal decision-making.

What are popular job titles related to Hospital Accounting jobs in Raleigh, NC?

For Hospital Accounting jobs in Raleigh, NC, the most frequently searched job titles are:

What cities near Raleigh, NC are hiring for Hospital Accounting jobs?

Cities near Raleigh, NC with the most Hospital Accounting job openings:

Infographic showing various Hospital Accounting job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 72% Full Time, 17% Part Time, and 7% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,645 per year, or $21.5 per hour.

Accounts Receivable Supervisor- Coding Operations

Duke University

Durham, NC

Full-time

Posted 18 days ago


Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

488th of 621 rated colleges and universities


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.

General Description of the Job Class

Supervise and coordinate the activities of the Accounts Receivable section of the Duke Hospital Business Office.

Duties and Responsibilities of this Level

Supervise and coordinate activities of the Accounts Receivable section of the Duke Hospital Business Office to include the processing of third-party claims and the maintenance, review, updating and collection of patient accounts in accordance with hospital credit policy.

Approve various transactions including refunds, ability-to-pay allowances, discounts and write-offs for hospital convenience; evaluate and process insurance denials and late insurance claims information as required.

Investigate special collection problems and confer with patients or financially responsible people as required to advise concerning hospital credit policy and to make arrangements for payment of outstanding accounts; recommend transfer of patient accounts to Delinquent Accounts section.

Maintain liaison with hospital and clinic supervisory personnel to coordinate efforts in resolving problems concerning collection of patient accounts receivable; answer inquiries from insurance companies concerning outstanding accounts as required.

Assist in the preparation of reports and analyses, setting forth progress, adverse trends and appropriate recommendations or conclusions.

Plan and schedule work to ensure proper distribution of assignments and adequate manning for subsequent performance of duties. Plan and conduct meetings with subordinates to ensure compliance with established practices, to implement new policies and keep employees abreast of current changes and standards. Develop and recommend operating policies and procedures for Accounts Receivable section.

Assist in the determination of fiscal requirements and the compilation of budgetary recommendations.

Initiate various personnel actions including, but not limited to, hiring, performance appraisals, promotions, transfers and vacation schedules, training new employees.

Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

 

 

Education

Work generally requires knowledge of clerical and accounting principles usually acquired through an associate degree in accounting or a directly related field.

 

 

Experience

Work generally requires five years of progressive experience in an accounts receivable environment. A bachelor's degree in accounting or directly related field may be substituted for the education requirement and 2 years' experience.

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

 

 

Degrees, Licensure, and/or Certification

N/A

 

 

Knowledge, Skills, and Abilities

SUPERVISION

BUDGET PROJECTIONS

ANALYZE TRENDS

INTERVIEWING SKILLS

PERSONNEL PRACTICES

ACCOUNTING/BOOKKEEPING

DUKE PAYROLL SYSTEM

OFFICE PROCEDURES

DUKE ACCOUNTING SYSTEM

BILLING/COLLECTIONS

INSURANCE CLAIMS

CORRESPONDENCE

PC WORDPROCESSING SOFTWARE

PC SPREADSHEET SOFTWARE

PC DATABASE MGT SOFTWARE

Distinguishing Characteristics of this Level

N/A


The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.


Duke University is an Equal Opportunity Employer committed to providing employment opportunities without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.


Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.



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About Duke University

Sourced by ZipRecruiter

Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US