Patient Accounts Clerk

Salary: See Position Description
Location : Gaston County Public Health Department, NC
Job Type: Full-Time
Job Number: 484
Department: HEALTH
Opening Date: 10/19/2026
Closing Date: 11/1/2026 11:59 PM Eastern
FLSA: Non-Exempt


Joining the team at Gaston County Government means being part of a community that is dedicated to improving the lives of its citizens. We are a dynamic organization that values innovation, collaboration, and commitment to service.

As an employee of Gaston County, you will have the opportunity to make a difference in your community every day. Whether you are working in public safety, social services, or administration, your contributions will help improve the lives of our residents and build a better future for our county.

Description


The Gaston County Public Health Department is committed to protecting, promoting and preserving the health and well-being of all Gaston County residents.

Examples of Duties
The anticipated hiring range for this position is $20.43 - 24.26
The duties listed below are not all of the duties that may be assigned but are those that are considered as essential for an employee to perform.

• Responsible for billing and collection of all patient claims for services provided, through our EHR and various electronic systems and/or manual processes for Medicaid, Medicare, Third Party payer sources and self-pay accounts. Review systems for patient demographics, financial updates, and e-bill entry prior to file submission to ensure accuracy for billing.
• Duties to include billing and posting activities: all payers, electronic and manual, primarily, but not limited to 837 billing and 835 posting files; patient statement activities; debt setoff files for reporting to the state and posting payments;updating clinical fee schedules as it relates to patient account activites; back up for billing and posting related duties as needed.
• Maintains follow-up on outstanding and/or un-paid claims billed to self-pays and Third Party payers, ie: Medicaid, insurance, Medicare; determines problem and solution through review and research and resubmits the charges for payment.
• Reconciles patient accounts after payments, denials, and/or claim determinations have been made; manual and/or electronic patient account adjustments completed; maintains files for or assists in preparation for audit of accounts. Resolves inquiries or questions from patients and insurance carriers about billing or collection issues, coding updates, non-covered charges or other related matters.
• Responsible for maintaining updated information and resources for payer source billing requirements and guidelines, to ensure services are properly billed and collection received for revenues due.
• Special projects; other duties as assigned; assist in preparedness and emergency response activities in situations that threaten the public's health (i.e. disease outbreaks, natural disasters, etc.).
• Carryout Quality Improvement (QI) roles and responsibilities, including identifying and communicating performance improvement opportunities and adjusting performance and practice to achieve established QI goals.
• Implement strategies aimed at achieving Health Equity, including but not limited to: attending trainings to better understand inequities, identifying and addressing barriers to health, serving on the Health Equity Team or its subcommittees, engaging in internal or external efforts to eliminate health disparities.

Minimum Qualifications

• High School Diploma
• Medical billing experience and/or data entry for physician medical practice using updated Electronic Health Record and Practice Management systems.
• Valid driver's license

Additional Information

The applicant selected must undergo a criminal background check and pass a drug screening test prior to employment.


At Gaston County, we are committed to providing equal opportunity to all employees, job applicants, and members of the community we serve. We value diversity, equity, and inclusion, and we strive to create a welcoming and inclusive environment where everyone is treated with respect and dignity.

We do not discriminate on the basis of race, color, religion, national origin, sex (including pregnancy, childbirth, or related medical conditions), gender identity, sexual orientation, age, disability, genetic information, veteran status, or any other status protected by applicable laws.

Gaston County will not sponsor applicants for work visas.
Full-Time employees are eligible for the total compensation package which includes:

• Health, Dental and Vision Insurance
• Life Insurance
• Flexible Spending Accounts
• Retirement Savings Plans
  • Pension
  • 401K (with 5% county contribution annually)
• Flexible Work Schedules
• Professional Development Opportunities
• Discounted YMCA Membership

Part-Time employees are eligible for certain benefits as a part of employment with Gaston County such as:

• Pro-Rated Sick and Annual Leave
• Professional Development Opportunities
• Local Government Retirement Plan
• Employee Assistance Program

Half-Time employees are not eligible for benefits.
To learn more details about the many benefits we provide view our


Overall, if you are looking for a challenging and rewarding career with competitive compensation and a comprehensive benefits package, Gaston County is the place for you.
01


Which statement below best describes the highest level of education you have completed?

• High school graduate, diploma or the equivalent (GED)
• Associate degree
• Bachelor's degree
• Master's degree
• Professional degree
• Doctorate degree

02


How many years of related work experience do you have?

• Less than 1 year
• 1-3 years
• 4-7 years
• 8+ years

03


Do you have valid driver's license?

• Yes
• No

Required Question