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Revenue Cycle Representative Jobs in Raleigh, NC

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Description Become part of an inclusive ...

Piedmont Health

Revenue Cycle Manager

Chapel Hill, NC · On-site

$52K/yr

Certified Revenue Cycle Representative (CRCR), preferred; * Certified Healthcare Financial Professional (CHFP), preferred; * Certified Professional Coder (CPC), preferred; * Certified Professional ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Job Summary: Responsible for performing ...

TEKsystems

Revenue Integrity Manager

Raleigh, NC · Remote

$86K - $142K/yr

Manage EHR Revenue Cycle systems and other billing platforms to ensure accurate and timely charge ... Represent the department in community and agency events as appropriate. Skills revenue integrity ...

WakeMed

Director, Managed Care Contracting

Raleigh, NC · On-site

EOE Licensure Certified Healthcare Financial Professional Or Certified Public Accountant Or Certified Revenue Cycle Representative Preferred Education Bachelor's Degree Business Administration Or ...

ClinDCast LLC

EPIC Project Manager

Cary, NC · On-site

Manage project scope, schedule, and quality for the Revenue Cycle EHR build team . * Set clear ... Maintain regular communication with Epic representatives , including weekly meetings. * Align ...

Duke University

Epic Credentialed Trainer

Durham, NC · On-site

... Representative, Job Code 5140; Job Level D2 A Little About Us The mission of the Patient Revenue ... PRMO is a fully integrated, centralized revenue cycle organization supporting Duke University ...

Duke University

Epic Credentialed Trainer

Durham, NC · On-site

... Representative, Job Code 5140; Job Level D2 A Little About Us The mission of the Patient Revenue ... PRMO is a fully integrated, centralized revenue cycle organization supporting Duke University ...

Duke Health

Epic Credentialed Trainer

Durham, NC

... Representative, Job Code 5140; Job Level D2 A Little About Us The mission of the Patient Revenue ... PRMO is a fully integrated, centralized revenue cycle organization supporting Duke University ...

Duke University

Medicaid Eligibility Analyst

Durham, NC · Hybrid

... the revenue cycle. This includes scheduling, registration, coding, billing, and other essential ... In some cases, may act as the authorized patient's representative for the purpose of initiating an ...

Duke University

Medicaid Eligibility Analyst

Durham, NC · On-site

... the revenue cycle. This includes scheduling, registration, coding, billing, and other essential ... In some cases, may act as the authorized patient's representative for the purpose of initiating an ...

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All JobsRevenue Cycle Representative JobsRevenue Cycle Representative Jobs in Raleigh, NC

Revenue Cycle Representative information

See Raleigh, NC salary details

$28.3K

$61.6K

$74.6K

How much do revenue cycle representative jobs pay per year?

As of Jul 28, 2026, the average yearly pay for revenue cycle representative in Raleigh, NC is $61,564.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,100.00 and $73,300.00 per year, depending on experience, location, and employer.

What is the difference between Revenue Cycle Representative vs Medical Billing Specialist?

AspectRevenue Cycle RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-AHigh school diploma; certifications like CPC or CPC-A
Work EnvironmentHealthcare facilities, insurance companies, billing officesMedical offices, billing companies, healthcare providers
Employer & IndustryHospitals, clinics, insurance companiesMedical practices, billing services
Primary FocusManaging entire revenue cycle, including claims follow-upProcessing and submitting medical claims, coding

Both roles require similar certifications and often work in healthcare settings. However, Revenue Cycle Representatives oversee the entire revenue process, while Medical Billing Specialists focus mainly on claims processing and coding. Understanding these differences helps job seekers find the right fit in healthcare revenue management.

What is a Revenue Cycle Representative?

A Revenue Cycle Representative is a professional who manages various aspects of the healthcare revenue cycle, including patient billing, insurance claims processing, payment posting, and account follow-up. They ensure that healthcare providers receive proper reimbursement for services by verifying patient information, communicating with insurance companies, and resolving billing issues. This role requires strong attention to detail, knowledge of medical billing processes, and excellent customer service skills.

What are some common challenges Revenue Cycle Representatives face when working with insurance claims?

Revenue Cycle Representatives often encounter challenges such as denied or delayed insurance claims, navigating complex payer requirements, and ensuring all necessary documentation is provided. These challenges require strong attention to detail, effective communication with both patients and insurance companies, and a solid understanding of billing codes and healthcare regulations. Proactively following up on outstanding claims and staying updated on industry changes can help representatives resolve issues efficiently and maintain a steady revenue flow for their organization.

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

To thrive as a Revenue Cycle Representative, you need strong analytical skills, attention to detail, and knowledge of medical billing and coding, often supported by a high school diploma or associate degree. Familiarity with healthcare billing software, electronic health records (EHR) systems, and insurance claim platforms is typically required. Excellent communication, problem-solving, and organizational skills help manage patient accounts and resolve billing issues efficiently. These competencies ensure accurate billing, timely reimbursements, and positive patient financial experiences, all of which are critical to the financial health of healthcare organizations.
What are popular job titles related to Revenue Cycle Representative jobs in Raleigh, NC? For Revenue Cycle Representative jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Revenue Cycle Representative jobs in Raleigh, NC look for? The top searched job categories for Revenue Cycle Representative jobs in Raleigh, NC are:
Revenue Cycle Representative jobs near you
Infographic showing various Revenue Cycle Representative job openings in Raleigh, NC as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $61,564 per year, or $29.6 per hour.
Revenue Cycle Representative

Revenue Cycle Representative

UNC HEALTH

Chapel Hill, NC • On-site

$18.12 - $25.51/hr

Full-time

Medical

This job post has expired today. Applications are no longer accepted.

Job description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
    • Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials.
    • Works physician claims ("professional billing").
    • Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims.
    • Performs all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy.

    Job Responsibilities:
    • Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, other methods.
    • Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
    • Submit requested medical information to insurance carrier.
    • Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
    • Access, review and respond to third party correspondence.
    • Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims.
    • Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
    • Verify claims adjudication utilizing appropriate resources and applications.
    • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
    • Respond to any assigned correspondence in a timely, professional, and complete manner.
    • Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
    • May maintain data tables for systems that support PB Claims operations.
    • Evaluate carrier and departmental information and determines data to be included in system tables.
    • Read and interpret EOB's (Explanation of Benefits).
    • Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
    • Accurately and thoroughly document the pertinent collection activity performed.
    • Participate and attend meetings, training seminars and in-services to develop job knowledge.
    • Meet/Exceed Productivity and Quality standards.

Other Information
Other information:
Education Requirements:
• High School Degree
Licensure/Certification Requirements:
Professional Experience Requirements:
• Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections)
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Physician Ins Billing and Foll
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.12 - $25.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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