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Patient Account Representative Jobs in Raleigh, NC

WakeMed

Finance & Accounting Representative

Raleigh, NC · On-site

Overview The Finance & Accounting Rep is responsible for posting and review functions, specialized collections, account research, patient and non-patient account management and/or patient and general ...

Prism Biotech

Account Representative - BioPharma

Durham, NC · On-site

$89K - $120K/yr

We are seeking driven, capable, vivacious as well as positive sales account reps to build out and lead the product launch of a few new and innovative pharmaceutical products. The Pharmaceutical Sales ...

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All JobsPatient Account Representative JobsPatient Account Representative Jobs in Raleigh, NC

Patient Account Representative information

See Raleigh, NC salary details

$11

$20

$28

How much do patient account representative jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for patient account representative in Raleigh, NC is $20.82, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.21 per hour, depending on experience, location, and employer.

What Is a Patient Account Representative?

A patient account representative works directly with patients to help manage questions and resolve issues regarding billing and collection. Your duties include communicating with individuals and insurance companies to provide information, handle complaints, and inquire about claims. As a patient account representative, you also act as a specialist in handling repayment options and delinquent accounts. Qualifications include a high school diploma or equivalent, as well as prior work experience in a medical billing or collections office. Excellent verbal and interpersonal skills are essential for this career.

What are Patient Account Representatives?

Patient Account Representatives are professionals who manage billing and payment processes in healthcare facilities. They communicate with patients about their accounts, explain charges, process payments, and help resolve billing issues. Their role often involves working with insurance companies to clarify coverage and ensure claims are handled correctly. They play a vital part in ensuring patients understand their financial responsibilities and in maintaining accurate financial records for healthcare providers.

How does a Patient Account Representative typically interact with other departments within a healthcare facility?

Patient Account Representatives frequently collaborate with departments such as billing, medical records, and clinical staff to ensure accurate patient billing and resolve account discrepancies. They often communicate with insurance coordinators to verify coverage and clarify claim details, and may work with front desk or admissions teams to collect necessary patient information. This cross-departmental teamwork is essential to address account issues promptly, enhance patient satisfaction, and maintain streamlined revenue cycles.

What is the difference between Patient Account Representative vs Medical Billing Specialist?

AspectPatient Account RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesManaging patient accounts, billing inquiries, insurance verificationProcessing insurance claims, coding, billing submissions
Common UsagePatient communication, account managementClaims processing, reimbursement

While both roles involve billing and insurance processes, the Patient Account Representative focuses on managing patient accounts and communication, whereas the Medical Billing Specialist primarily handles claims processing and coding. Both positions are essential in healthcare revenue cycle management and often work closely together.

What are the key skills and qualifications needed to thrive as a Patient Account Representative, and why are they important?

To thrive as a Patient Account Representative, you need strong knowledge of medical billing, insurance processes, and account reconciliation, often supported by a high school diploma or associate degree. Familiarity with billing software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is essential. Excellent communication, problem-solving abilities, and attention to detail help build trust with patients and ensure accurate account management. These skills ensure patients are billed correctly, payments are collected efficiently, and healthcare providers maintain positive financial relationships.
More about Patient Account Representative jobs
What are the most commonly searched types of Patient Account Representative jobs in Raleigh, NC? The most popular types of Patient Account Representative jobs in Raleigh, NC are:
What are popular job titles related to Patient Account Representative jobs in Raleigh, NC? For Patient Account Representative jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Patient Account Representative jobs in Raleigh, NC look for? The top searched job categories for Patient Account Representative jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Patient Account Representative jobs? Cities near Raleigh, NC with the most Patient Account Representative job openings:
Patient Account Representative jobs near you
Infographic showing various Patient Account Representative job openings in Raleigh, NC as of July 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $43,306 per year, or $20.8 per hour.
Patient Account Representative- Full Time

Patient Account Representative- Full Time

Summit BHC

Raleigh, NC

$17.50 - $23/hr

Full-time

Posted 2 days ago

New

Job description

Patient Account Representative- Full Time | Raleigh Oaks Behavioral Health | Garner, North Carolina

About the Job:

The Patient Account Representative is responsible for financial assessment of patients, determination of ability to pay, collection of deposits, negotiation of payment arrangements, securing financing of self-pay liability, and identification of funding sources.

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

  • Verifies benefits on each admission and appropriately documents billing system of patient's financial obligations.
  • Provides financial counseling for patients (or responsible parties) of their financial obligations including education/consent of private pay agreement, explanation of benefits, co-pays and deductible information, etc. to patients and families to assist patients in identifying funding sources; Performs upfront collections when appropriate.
  • Collects data and compiles various/ongoing reports to record and monitor upfront collection data.
  • Responds to all requests for insurance benefit verification in a timely manner to facilitate admission.
  • Completes documentation of all benefit and eligibility information with accuracy and detail and communicates timely to designated staff. Reviews explanation of benefits to ascertain that claim is processed and paid correctly.
  • Accurately determines third party and self-pay liability. Verifies benefits, anticipated length of stay, average program cost to establish correct liability.
  • Prepares written out of pocket estimates and discusses with the patient and/or family.
  • Ensures all patients are "financially secured" as soon as possible but no later than at discharge.
  • Requests credit reports to assist in determining collectability.
  • Collects "Advance Payments" according to guidelines provided.
  • Reviews claims issues utilizing claims clearing house and make corrections as needed and rebill.
  • Completes adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
  • Manages daily productivity via patient accounting system and productivity reports.
  • Prorates patient accounts and monitors that balance due is in the correct financial class.
  • Maintains appropriate reminder system for follow-up activity.
  • Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
  • Completes monthly re-verification of all current, in-house patients.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • High school diploma or equivalent required.
  • Two or more years' prior admissions, collections experience and requests for verification of benefits in a hospital setting required. Psychiatric experience preferred.
  • Prior experience with on-line Admission/Billing system desirable.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Not applicable.

WORK LOCATION:

This position is onsite and is not a remote position.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor.

Why Raleigh Oaks Behavioral Health?Raleigh Oaks Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Raleigh Oaks Behavioral Health is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.

Summit BHC logo

About Summit BHC

Sourced by ZipRecruiter

Summit BHC, based in Franklin, TN, USA, is a recognized leader in the field of addiction treatment and behavioral health care services. The company operates a nationwide network of treatment centers aimed at caring for individuals battling substance abuse and mental health disorders. Summit BHC was established with the mission to provide high-quality, addiction treatment and behavioral health services to those in need throughout the United States. With compassion, dignity, and respect as their core values, they endeavor to instill hope during the journey to recovery and beyond.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Franklin, TN, US

Year founded

2013

Social media

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