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Patient Account Representative Jobs in Raleigh, NC

WakeMed

Patient Insurance Representative

Raleigh, NC · On-site

$17 - $21.75/hr

Overview The Patient Insurance Representative will help patients seamlessly navigate complex billing, financial and insurance workflows. The Patient Insurance Representative is responsible for ...

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Patient Account Representative information

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How much do patient account representative jobs pay per hour?

As of Sep 3, 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.

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 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.

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 does a patient account representative do?

A patient account representative manages patients' billing and insurance information, processes payments, and resolves billing issues. They often use billing software and require strong communication skills to coordinate with patients and healthcare providers.
More about Patient Account Representative jobs

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For Patient Account Representative jobs in Raleigh, NC, the most frequently searched job titles are:

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What cities near Raleigh, NC are hiring for Patient Account Representative jobs?

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Patient Account Representative jobs near you
Infographic showing various Patient Account Representative job openings in Raleigh, NC as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 14% Part Time, and 7% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $43,303 per year, or $20.8 per hour.

Patient Service Representative - Outpatient Eligibility/Procedural Authorization

Duke Health

Durham, NC • Remote

$17 - $21.50/hr

Full-time

Re-posted 21 days ago

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 256 frontline employees who took The Breakroom Quiz

345th of 898 rated healthcare providers

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.


Duke University Health System - Patient Revenue Management Office (PRMO)seeks to hire aPatient Service Representattivewho will embrace our mission of Advancing Health Together.

Work Hours:Monday - Friday 8:00 - 5:00

This position is remote.

Job Summary

Responsible for accurate and complete patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include but not limited to pre-admission, admission, pre-registration and registration functions. Ensure all insurance requirements are met prior to patients' arrival, and inform patients of their financial liability. Arranges payment options with the patients and screens patients for government funding sources. This position has high customer service with our payors and physicians by phone and requires excellent customer service skills. This position is very similar to the Financial Care Counselor. This position completes all preliminary work. The Financial Counselor completes the work when the patient arrives.

Work Performed

Analyze insurance coverage and benefits for service to ensure timely reimbursement. Obtain all PAC and/or authorizations as appropriate. Facilitate referral to Financial Services for payment sources for uninsured patients. Determine if patient's condition is the result of an accident, performing complete research to determine the appropriate source of liability/payment. Schedules and pre-register patients, correcting as necessary all patient demographic and financial data. Resolve insurance claim rejections/denials and remedy expediently. Call patients to remind them to bring balances due, co-pays, co insurance and deductible. Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy. Perform those duties necessary to ensure all accounts are processed accurately and efficiently. Promote and maintain excellence in customer service. Explain billing to patients according to PRMO credit and collection policies, when discussing insurance with patients. Implement appropriate collection actions and assist financially responsible persons in arranging payment. Make referral to Financial Services Representative for counseling. Determine necessity of third party sponsorship and process patients per policy and procedure. Examine insurance policies and other third party sponsorship materials for sources of payment. Inform attending physician of patient financial hardship. Update the billing system to reflect the insurance status of the patient. Provides timely and effective customer service to internal customers. Assist with departmental coverage as requested. Obtain authorizations based on insurance plan contracts/guidelines, document in billing system per policy and procedure. Enter and update referrals as required. Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage and payment for specific patients and benefits.

Knowledge, Skills and Abilities

Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.

Level Characteristics

N/A

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education, with some postsecondary education preferred. Additional training or working knowledge of related business.

Experience

Two to five years experience working in hospital access, physician office or billing and collections or an equivalent combination of relevant education and /or experience

Degrees, Licensures, Certifications

None 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.


Employment Type: FULL_TIME

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