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Patient Assistance Program Representative Jobs in Raleigh, NC

... representatives, state partners, contractors, and project stakeholders. Provide client service and facilitate resolution of project-related issues and concerns. FEMA Public Assistance Program ...

* We are hiring immediately for a full time PATIENT SERVICES LEAD position. * Location : WakeMed ... Assistance Program, Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and ...

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Patient Assistance Program Representative information

See Raleigh, NC salary details

$12

$19

$25

How much do patient assistance program representative jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for patient assistance program representative in Raleigh, NC is $19.20, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.82 per hour, depending on experience, location, and employer.

What is a patient assistance program representative?

A Patient Assistance Program Representative is a professional who helps patients access medications and healthcare services by guiding them through various assistance programs offered by pharmaceutical companies, non-profits, or healthcare providers. Their main responsibilities include assessing patient eligibility, completing and submitting necessary paperwork, and serving as a liaison between patients, healthcare providers, and program sponsors. They play a crucial role in ensuring that individuals with limited financial resources can obtain the medications and treatments they need.

What are the key skills and qualifications needed to thrive as a patient assistance program representative?

To thrive as a Patient Assistance Program Representative, you need a strong understanding of healthcare processes, insurance verification, and program eligibility requirements, usually supported by a high school diploma or relevant experience. Familiarity with CRM systems, patient management software, and electronic documentation tools is typically required. Outstanding communication, empathy, and problem-solving skills help build trust with patients and coordinate effectively with healthcare providers. These skills ensure efficient program enrollment, positive patient experiences, and accurate handling of sensitive information.

What are some common challenges faced by patient assistance program representatives, and how can they be managed effectively?

Patient Assistance Program Representatives often encounter challenges such as navigating complex insurance policies, managing high call volumes, and addressing sensitive patient concerns regarding medication access. Effective time management and strong communication skills are essential for prioritizing tasks and providing clear information to patients. Utilizing team resources and staying updated on program requirements can also help representatives resolve issues efficiently, ensuring patients receive the support they need in a timely manner.

What is the difference between Patient Assistance Program Representative vs Patient Services Coordinator?

AspectPatient Assistance Program RepresentativePatient Services Coordinator
Required CredentialsHigh school diploma or equivalent; some roles may prefer healthcare-related certificationsHigh school diploma or equivalent; healthcare or customer service experience beneficial
Work EnvironmentHealthcare facilities, pharmaceutical companies, or nonprofit organizationsHospitals, clinics, or healthcare offices
Employer & Industry UsageUsed in pharmaceutical, healthcare, and nonprofit sectors to assist patients with medication access

Both roles involve assisting patients, often requiring similar credentials and working in healthcare settings. The Patient Assistance Program Representative specifically focuses on helping patients access medications through assistance programs, while the Patient Services Coordinator handles broader patient support and coordination. Understanding these differences can help job seekers identify the best fit for their skills and career goals.

What are popular job titles related to Patient Assistance Program Representative jobs in Raleigh, NC?

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

What job categories do people searching Patient Assistance Program Representative jobs in Raleigh, NC look for?

The top searched job categories for Patient Assistance Program Representative jobs in Raleigh, NC are:

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

Cities near Raleigh, NC with the most Patient Assistance Program Representative job openings:

SENIOR PATIENT RELATIONS REPRESENTATIVE - 40000958

Durham County

Durham, NC • On-site

$40K - $68K/yr

Full-time

Posted 5 days ago


Key responsibilities

  • Review, enter, and submit accurate billing for medical and dental claims, including diagnosis codes, CPT codes, and payer requirements.

  • Research and resolve claim issues, non-payments, and denials, and resubmit corrected claims for payment.

  • Communicate with patients and payors to address billing and claim issues and process refunds as needed.


Job description

Join Durham County Government
Durham County Government is home to over 2,000 dedicated professionals working together to deliver essential services that strengthen and support our vibrant, diverse community. As the heart of a fast-growing region, we offer meaningful careers across a wide range of fields-giving you the opportunity to make a real impact where you live, work, grow, and play. Learn more at www.dconc.gov.
DEPARTMENT:
PUBLIC HEALTH
DATE POSTED:
AUGUST 31, 2026
CLOSING DATE:
SEPTEMBER 13, 2026
SALARY RANGE:
$40,528.00- $68,849.00
POSITION NUMBER:
40000958
JOB TYPE:
FULL-TIME (37.5 HOURS, NONEXEMPT)
**THIS IS A REPOST, ALL APPLICANTS ARE STILL BEING CONSIDERED**
GENERAL DESCRIPTION:
This position supports the billing unit by performing accurate and timely billing and coding of medical and dental claims for all clinical programs in the local health department. Under the direction of the Billing Operations Supervisor, the employee follows established procedures, ensures compliance with HIPAA and state and federal regulations, and helps maintain correct documentation for efficient claim processing. Responsibilities include preparing and verifying claims, correcting errors, responding to payer requests, and assisting with billing needs for programs such as Family Planning, STD, Tuberculosis, Immunization, Refugee Health, Maternal Health, Nutrition, and Dental Services.
DUTIES AND RESPONSIBILITIES:
The essential functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.
    • Accurate review, entry, and submission of self-pay and insurance billing for accuracy (i.e. diagnosis codes, CPT codes, modifiers, patient and provider information and payer specific billing requirements)
    • Processing electronic billing in EPIC
    • Researching and resolving claim issues, non-payments and denials correcting and resubmitting for payment
    • Identifying denials for trends; reporting any findings to appropriate staff
    • Processing accounts receivables
    • Tracking aging accounts via preparing and analyzing reports
    • Communicating directly with patients and payors to resolve any billing/claim issues
    • Correcting patient account errors
    • Processing refunds to patients and/or payers
    • Entering patient approved Presumptive Medicaid insurance coverage into EPIC

KNOWLEDGE, SKILLS, AND ABILITIES:
    • Working knowledge of medical billing principles, payer reimbursement methodologies (including Medicaid, Medicare, and commercial insurance), and healthcare revenue cycle practices.
    • Knowledge of modern office methods, practices, and equipment
    • Knowledge of computer software and the ability to train others on the use of that software
    • Ability to understand and contribute to the process of creating policies and procedures
    • Effective customer service skills
    • General understanding of bookkeeping and accounting principles as they apply to billing, payment posting, accounts receivable, and reconciliation.
    • Familiarity with government budgeting and public health financial procedures, including reporting, auditing, and fee setting.
    • Excellent interpersonal skills and the ability to maintain effective working relationships with clinical teams, administrative staff, the public, and representatives from external agencies.
    • Clear and professional oral and written communication skills; able to present information effectively to staff and leadership.
    • Strong analytical skills with the ability to interpret billing regulations, identify and resolve issues, and apply relevant laws and payer policies.
    • Highly organized with the ability to prioritize tasks, manage competing deadlines, and adapt to changing programmatic or regulatory needs.
    • Proactive, flexible, and open to continuous learning and adopting new approaches to improve efficiency and meet departmental goals.

MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:
    • Graduation from high school and demonstrated possession of the knowledge, skills, and abilities gained through at least two years of office assistant/secretarial experience; or an equivalent combination of training and experience.

PREFERRED QUALIFICATIONS:
    • Experience using billing systems such as EPIC, Patagonia Health, or CureMD
    • Familiarity with NC Tracks, Availity, and other payer portals
    • Certified Professional Biller (CPB), Certified Professional Coder (CPC), and/or Certified Revenue Cycle Professional (CRCP)
    • Completion of a two-year program in health administration, business, accounting, or a related field with one year of responsible experience in billing or related work

PHYSICAL DEMANDS:
Physical demands refer to the requirements for physical exertion and coordination of limb and body movement.
    • Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

UNAVOIDABLE HAZARDS (WORK ENVIRONMENT):
Unavoidable hazards refer to the job conditions that may lead to injury or health hazards even though precautions have been taken.
    • None

STANDARD CLAUSES:
May be required to work nights, weekends, holidays and emergencies (man-made or natural) to meet the business needs of Durham County.
This job description is not designed to cover or contain a comprehensive listing of essential functions and responsibilities that are required of an employee for this job. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.
ESSENTIAL SAFETY FUNCTIONS:
It is the responsibility of each employee to comply with established policies, procedures and safe work practices. Each employee must follow safety training and instructions provided by their supervisor. Each employee must also properly wear and maintain all personal protective equipment required for their job. Finally, each employee must immediately report any unsafe work practices or unsafe conditions as well as any on-the-job injury or illnesses.
Every manager/supervisor is responsible for enforcing all safety rules and regulations. In addition, they are responsible for ensuring that a safe work environment is maintained, safe work practices are followed and employees are properly trained.
To further the mission of the Durham County Department of Public Health (DCoDPH) to partner with our community to advance health equity, protect the environment, and promote health and wellness for all, DCoDPH is implementing the employee vaccination and tuberculosis screening policies. All DCoDPH employees are considered healthcare personnel (HCP) working in a health care setting with the potential for exposure to patients and/or infectious materials and, therefore, are required to comply and provide documented proof of the following:
  • Measles, Mumps & Rubella (MMR) vaccination/immunity
  • Varicella-Zoster Virus (Chicken Pox) vaccination/immunity
  • Tdap (Tetanus, Diphtheria, Pertussis)
  • Tuberculosis (TB) baseline screening within the last twelve (12) months prior to employment
  • Hepatitis B vaccination/immunity - only required for DCoDPH employees with potential Bloodborne Pathogen (BBP) exposures.

Identified DCoDPH HCP with potential Bloodborne Pathogen (BBP) exposure have an additional requirement for the Hepatitis B vaccination. Required vaccination, serological testing to determine immunity, and baseline tuberculosis screening are available for all Public Health employees who elect to become DCoDPH patients upon request and at no cost.
Proof of vaccination and tuberculosis screening must be provided to Human Resources within seven (7) business days prior to the date of employment.
AMERICANS WITH DISABILITIES ACT COMPLIANCE:
Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.
BACKGROUND CHECK STATEMENT:
This position may be subject to a background check, which could include, but is not limited to, criminal history (employment-related and/or SBI fingerprint-based), credit history, motor vehicle records, educational verification, and checks of the sexual offender registry, depending on the specific requirements of the role. A conviction record does not automatically disqualify an applicant from employment consideration, unless otherwise required by applicable state law.