SENIOR PATIENT RELATIONS REPRESENTATIVE - 40000958

Durham County Government; Durham (NC); On-site; USD 41,000 - 69,000; Full time

Job summary

Durham County Government's Public Health department is seeking a billing clerk to perform accurate and timely medical and dental claims billing and coding for multiple programs.

Under supervision, you will process EPIC billing, verify codes, respond to payer requests, manage accounts receivable, and help maintain documentation in compliance with HIPAA.

Qualifications

• Two years of office/secretarial experience or equivalent.
• Knowledge of HIPAA and billing compliance required.
• Familiarity with EPIC or similar EMR billing systems.
• Strong attention to detail and confidentiality.

Responsibilities

• Accurate review, entry, and submission of self-pay and insurance billing with correct codes.
• Processing electronic billing in EPIC and other systems.
• Researching denials, resolving issues, and resubmitting for payment.
• Tracking aging accounts and preparing related reports.
• Communicating with patients and payors to resolve billing questions.
• Entering approved insurance coverage and maintaining documentation.

Skills

Medical Billing

HIPAA Compliance

Customer Service

Data Entry

Education

High School Diploma or GED

2 years office/secretarial experience

Tools

EPIC

Patagonia Health

CureMD

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.

Required

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.