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Medical Bookkeeping Jobs in Raleigh, NC (NOW HIRING)

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Medical Bookkeeping information

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$11

$21

$31

How much do medical bookkeeping jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical bookkeeping in Raleigh, NC is $21.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $24.42 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical bookkeeper, and why are they important?

To thrive as a Medical Bookkeeper, you need a solid understanding of accounting principles, medical billing, and healthcare regulations, often supported by experience or coursework in bookkeeping or healthcare administration. Familiarity with medical billing software, electronic health records (EHR) systems, and spreadsheet tools like Excel is typically required. Strong attention to detail, organizational skills, and the ability to maintain confidentiality help you stand out in this position. These skills and qualities are essential to ensure accurate financial records, compliance with healthcare laws, and the smooth financial operation of medical practices.

What qualifications do you need to be a medical bookkeeper?

A medical bookkeeper typically needs a high school diploma or equivalent, along with knowledge of medical billing, coding, and accounting software. Certification such as Certified Medical Bookkeeper (CMB) or similar can enhance job prospects, and strong attention to detail and organizational skills are essential for managing financial records accurately.

What is the difference between Medical Bookkeeping vs Medical Billing?

AspectMedical BookkeepingMedical Billing
Primary RoleMaintains financial records, manages accounts, and handles bookkeeping tasksProcesses insurance claims, submits bills, and follows up on payments
Required SkillsFinancial record keeping, data entry, basic accountingInsurance coding, claim submission, payment posting
Work EnvironmentMedical offices, clinics, healthcare accounting firmsMedical offices, billing companies, healthcare providers
CertificationsBookkeeping or accounting certifications often preferredMedical billing certifications like CPC or CBCS often required

Medical Bookkeeping focuses on maintaining accurate financial records and managing accounts, while Medical Billing specializes in submitting insurance claims and ensuring payments are received. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What is medical bookkeeping?

Medical bookkeeping is the process of recording, managing, and reconciling financial transactions for healthcare providers. It involves tasks such as billing, coding, and maintaining patient financial records, often using accounting software like QuickBooks or specialized medical billing systems. Accurate medical bookkeeping ensures proper reimbursement and compliance with healthcare regulations.

How does a medical bookkeeper typically interact with healthcare practitioners and administrative staff?

Medical bookkeepers frequently collaborate with both healthcare practitioners and administrative staff to ensure accurate financial records and compliance with industry regulations. They often communicate with medical billing specialists, office managers, and sometimes directly with physicians to resolve discrepancies, verify insurance payments, and manage patient billing issues. This collaborative environment requires strong communication skills and the ability to translate complex financial information into actionable steps for non-financial team members. Successful medical bookkeepers are proactive in maintaining transparency and streamlining processes between financial and clinical teams.
What are popular job titles related to Medical Bookkeeping jobs in Raleigh, NC? For Medical Bookkeeping jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Medical Bookkeeping jobs in Raleigh, NC look for? The top searched job categories for Medical Bookkeeping jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Medical Bookkeeping jobs? Cities near Raleigh, NC with the most Medical Bookkeeping job openings:
Medical Bookkeeping jobs near you
Infographic showing various Medical Bookkeeping job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $44,652 per year, or $21.5 per hour.

Certified Medical Assistant (CMA) - Hospital Based Clinics -Float Pool

Duke University

Durham, NC

$16.50 - $21.25/hr

Full-time

Re-posted 2 days ago

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

486th of 617 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.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

The Staffing Pool at Duke University Hospital seeks to hire a Certified Medical Assistant for its hospital based clinics, who will embrace our mission of Advancing Health Together!

Job Summary:
The Certified Medical Assistant (CMA) functions as an integral member of the interdisciplinary healthcare team in providing direct patient care. The CMA performs routine administrative and patient care supportive duties in a Health System medical practice, they assist medical and/or nursing staff in the examination and treatment of patients and ensure the clinic/office runs smoothly. 

Schedule:  Day Shifts - 8hr shifts, 32-40 hrs./week within DUHS...campuses consist of Duke Main, Duke Regional, Duke Raleigh and a few offsite clinics within a 40-60 miles radius. 


Administrative duties may include but are not limited to the following:

  • Answer telephones
  • Greet patients
  • Update and file patient medical records
  • Fill out insurance forms
  • Handle correspondence
  • Schedule appointments
  • Arrange for hospital admissions
  • Arrange for laboratory services
  • Handle billing and bookkeeping.
  • Perform other administrative duties as directed.

Clinical Duties may include but are not limited to the following:

  • Assist medical and nursing staff in a variety of tasks including:
  • Taking medical histories and recording vital signs
  • Explaining treatment procedures to patients
  • Preparing patients for examinations and procedures
  • Assisting the physician during the examination and procedures
  • Collect and prepare laboratory specimens
  • Perform basic laboratory tests on the premises
  • Dispose of contaminated supplies Sterilize medical instruments.
  • Promote patient/family understanding of the educational content and his/her involvement in the plan of care, and document in patient record.
  • Prepare and administer medications as directed by a physician
  • Authorize drug refills as directed Telephone prescriptions to a pharmacy.
  • Draw blood
  • Prepare patients for x-rays, tests and procedures.
  • Take electrocardiograms Remove sutures/ staples.
  • Change sterile and non-sterile dressings.

Keyword Search: 
Minimum Qualifications

Education:

  • Level I -- Graduation from an accredited Medical Assistant program is strongly preferred. High school or GED graduation is required.
  • Level II -- Graduation from a medical assistant program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) is strongly preferred. High school or GED graduation is required.
  • Level III -- Graduation from a medical assistant program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) is strongly preferred. High school or GED graduation is required.

Experience:

  • Level I -- No experience required.
  • Level II -- Must have at least 1 year of clinical experience as a Medical Assistant in a clinical setting.
  • Level III -- Must have at least3 years of clinical experience as a Medical Assistant in a clinical setting. Note: 1 year of experience will be provided for an Associate degree in Medical Assisting.

General Ladder Statement: In addition to the education and experience noted, applicants must meet all requirements set forth in the Medical Assistant, Certified (CMA/RMA) Ladder Program document for Levels II, III & IV.


 Degrees, Licensures, Certifications:

  • Level I -- Certification by AAMA, AMT, NHA-CCMA, NCMA or ARMA required. BLS required.
  • Level II -- Certification by AAMA, AMT, NHA-CCMA, NCMA or ARMA required. BLS required.
  • Level III -- Certification by AAMA, AMT, NHA-CCMA, NCMA or ARMA required. BLS required.

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

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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

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