Patient Account Representative

Patient Account Representative

Salary

$41,931.18 Annually

Location

Health & Human Services, NC

Job Type

Full-time

Job Number

00057

Department

Health Department

Opening Date

10/16/2026

Closing Date

10/30/2026 11:59 PM Eastern

• Description
• Benefits
• Questions

Job Purpose

The primary purpose of this position is to maximize revenue to the Health Department by making sure all medical billing is accurate, correctly coded, entered and billed efficiently and in a timely manner while providing excellent customer service to clients in regard to services provided and financial responsibility.

Responsibilities

• Review and prepare encounters for electronic and/or paper filing.
• This position is responsible for the on-going maintenance of customers in the Debt Setoff Program.
• Working out payment plans, taking payments and educating customers on their financial responsibilities.
• Verify insurance and follow up on denied claims.
• Review LabCorp invoices to ensure all customers who had Medicaid were billed.
• Follow up on LabCorp third party billing letters.
• This position is primarily responsible for immunization, child health, STI and refugee billing but must know how to do all program billing.
• Medical Nutrition Therapy Billing

Qualifications

Graduation from high school or GED required, and demonstrated possession of knowledge, skills, and abilities gained through at least two years of clerical office experience, preferably in a medical setting or an equivalent combination of training and experience.

Preferred Qualifications:

• Fluent in both Spanish and English, both oral and written. Previous medical billing experience. Knowledge of ICD coding, CPT codes, and the use of billing modifiers.

Skills & Abilities

• General knowledge of office procedures, methods and practices.
• Demonstrated knowledge of and ability to use correct spelling, punctuation and specialized vocabulary; ability to proofread.
• General knowledge of office accounting and record-keeping procedures.
• Good mathematical skills are necessary for the money handling portion and balancing of patient accounts.
• Aptitude to learn and apply a variety of guidelines.
• Ability to use a variety of office equipment.
• Excellent computer skills.
• Capable of working with people with courtesy and tact.
• Ability to gather and give information and instructions.
• Aptitude for dealing with numbers and statistics.
• The ability to adapt to frequent change and multi-tasking skills are essential to this position.
• Ability to make sound judgments and when in question will consult with supervisor for guidance.
• Accountability - Ability to accept responsibility and account for his/her actions.
• Accuracy - Ability to perform work accurately and thoroughly.
• Communication, Oral - Ability to communicate effectively with others using the spoken word.
• Communication, Written - Ability to communicate in writing clearly and concisely.
• Compassion - Ability to show kindness, empathy and genuine care.
• Honesty - Ability to be truthful, maintain high level of confidentiality and be seen as credible in the workplace.
• Integrity - Trustworthiness to a degree that one is incapable of being false to a trust, responsibility or pledge
• Judgment - Ability to use good judgment and discretion as it relates to following policies and procedures.
• Safety-Minded - Creating a safe work environment; managing risks; reducing exposure liabilities.
• Teamwork - Ability to work with others successfully and productively for the common cause and desired end goal.

PHYSICAL DEMANDS:

N (Not Applicable) Activity is not applicable to this position.

O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day)

Physical Demands

Stand O

Walk O

Sit F

Manually Manipulate C

Reach Outward F

Reach Above Shoulder O

Climb O

Crawl O

Squat or Kneel O

Bend O

Lift/Carry

10 lbs or less O

11-20 lbs. O

21-50 lbs. O

51-100 lbs. O

Over 100 lbs. N

Push/Pull

12 lbs or less F

13-25 lbs. O

26-40 lbs. O

41-100 lbs. O

Other Physical Requirements

• Vision (Near, Distance, Peripheral)

Health Insurance - Full-time employees are eligible for medical/health (Cigna Insurance) benefits upon the 1st of the month following 30 days of employment.

Alamance County Government currently offers three plans of medical/pharmacy benefit options including 2 Standard PPO plans and a High-Deductible Health Plan with HSA.

Dental Benefit - Alamance County offers one dental insurance (Delta Dental) plan for FT employees at no cost. The plan, if elected, would be effective the first of the month following 30 days of FT employment.

Vision Insurance - A voluntary vision program (Superior Vision) is available to FT employees. The current PPO style plan allows employees to seek treatment and hardware from any vision care provider of their choice. The plan, if elected, would be effective the first of the month following 30 days of FT employment. Coverage must be elected within your first 30 days of FT employment or upon a qualifying event.

Voluntary Benefits: Alamance County Government provides a variety of voluntary health related benefits (Voya) to allow employees to purchase protection from what life may bring. A sampling of voluntary benefits includes Flexible Spending Accounts with dependent care opportunities, Health Saving Account with an employer contribution, Short Term Disability, Long Term Disability, Cancer Protection Plan, Group Critical Care Insurance and more.

Life Insurance - Basic term life insurance is the amount of one times the annual salary (no greater than $70,000) is provided for all FT employees. Additional coverage is available for purchase through payroll deductions for employee and eligible dependents.

Retirement Benefits - Membership in the NC Local Government Employees Retirement System (NCLGERS) is a requirement for all full-time and regular part-time employees (working more than 1,000 hours annually). Employees contribute six percent (6%) of their annual compensation before it is taxed.

Time Off Accruals:

Vacation Time - Annual Leave is accrued based on years of service. Employees can accrue from 10-25 days per year.

Sick Time - All County full time employees earn 12 days of sick leave per year.

County Observed Holidays - Alamance County will observe the State of North Carolina Holiday Schedule.

Wellness Benefits & Programming:

Employee Assistance Program: There are times when everyone needs a little help or advice. The confidential Employee Assistance Program (EAP) through a local provider can help you with things like stress, anxiety, depression, chemical dependency, relationship issues, legal issues, parenting questions, financial counseling and dependent care resources. Best of all its free for County employees and available for your household to utilize. Utilization of the EAP is completely confidential and participation isnt recorded.

Help is available 24/7/365 by telephone.

Alamance County Employee Health Center: Available to employees and spouses who are covered under the Alamance County Insurance Plan and their covered dependents, 18 years of age and older. Retired employees under age 65 are also eligible to use the health center. Depending on insurance coverage elected, care at the clinic ranges from free to a fair market value cost.

Services Available:

Treatment of injuries or illnesses such as flu, sinus Infection, pink eye, sprains, strains or fever.

Monitor chronic conditions (Diabetes, Hypertension, Hyperlipidemia, Health Disease, Asthma, etc...)

Assistance with finding a Primary Care Provider

Health Education and Counseling

Triage and referrals to specialists when appropriate.

Alamance County provides a variety of additional benefits including bereavement pay, Paid Parental Leave, Wellness Leave to focus on work-life balance initiatives, Volunteer Time Off (paid time) opportunities to be a part of the Alamance Community, to opportunities for professional certification pay.

Employee Fitness Center:

Alamance County encourages all employees to maintain a healthy lifestyle both at home and at work. In support of this philosophy an Employee Fitness Center is available for all County employees to use at their convenience during non-work hours and is open 6:00 AM to 9:00 PM Monday-Sunday. This center includes weight training equipment, cardio equipment, a small aerobics room along with restrooms, changing room and lockers.

01

It is critical to our screening and salary determination process that applications contain comprehensive information. Information should be provided in the appropriate areas to include the beginning and end dates of jobs worked, education with the date graduated, all work experience, and certificates/licenses. Resumes will NOT be accepted in lieu of completing this application. Answers to Supplemental Questions must refer to education or work experience listed on this application to receive credit. Degrees must be received from appropriately accredited institutions. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. By entering your initials in the free text cell below, you are acknowledging your understanding of the above and that you have provided all relevant education, experience, skills and certifications/licensures on this application.

02

If you have a college degree, what was your major area of study? Enter N/A if this does not apply.

03

Please describe your experience with Medical Coding and Billing

04

Do you have any experience with Medicaid Billing?

• Yes
• No

05

Are you bilingual in Spanish and English?

• Yes
• No

Required Question

Employer Alamance County Government

Address 124 West Elm Street

Graham, North Carolina, 27253

Phone 336-570-4028

Website http://www.alamance-nc.com