Accounting Technician

Accounting Technician III (S)

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

The Central Billing Office (CBO) in the DHHS Office of the Controller (OoC), Accounts Receivable Section is responsible for Accounts Receivable, billing, and collections of over $475 million annually for the twelve Division of State Owned and Operated Healthcare Facilities (DSOHF). The primary focus of the Accounting Technician III is to maintain and meet Federal and State Reporting Requirements for twelve State Owned and Operated Healthcare Facilities. This position is needed to support the budgeted expenditures (salaries and fringes) for the critical care positions at the twelve DSOHF institutions. This is a professional position requiring technical, analytical, and evaluative expertise. Responsibilities include the following:

• Maintain accounts in the EPIC billing system integrity and meet Federal and State reporting requirements.
• Posting of payments to EPIC's individual patient accounts utilizing multiple source documents.
• CBO and DSOHF cashier receipts (A logs, B-logs, C-logs, JV entries, D-logs and EFT payments from Blue Cross Blue Shield, Aetna, UHC, and other insurance payors), Medicaid, MCO and Medicare 835I (electronic) Remittance Advices, other third party payers' Explanations of Benefits, Direct Deposit of Government Entitlement funds totaling $12 million annually and accounts receivable posting documents.
• Analyzes remittance advice data to ascertain correct contractual adjustments to be posted to patient accounts.
• Ensures patients and other third-party payers are not billed for unnecessary charges.
• Reconcile daily EPIC payment/adjustment reports to logged receipt data.
• Working hours are 8:00 AM to 5:00 PM Monday through Friday.

Salary Grade Range: $37,377.00 - $65,408.00

Recruitment Range: $45,999.00 - $53,957.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Working knowledge of electronic inpatient/outpatient hospital billing systems; healthcare paper claims including UB04 and CMS 1500 claim forms; and electronic 837I and 837P transactions. EPIC experience preferred. Ability to ascertain correct contractual amounts from Medicare, Medicaid and other third party payer remittance documents.
• Demonstrated data entry skills in accounting, auditing, and cash management, along with knowledge of auditing third‑party and patient accounts, supported by accounting coursework and experience in healthcare‑related accounting.
• Planning and organizational skills to meet deadlines with attention to detail
• Knowledge of Federal, State and Guarantor/Payor healthcare practices, healthcare eligibility requirements and reporting requirements.
• Experience in third party billing (Medicare, Medicaid and Commercial) and patient accounts.

The Posting Will Close At 11:59 P.M. The Night Before The End Date

This Position Is Funded In Part Through Federal Funds

This Role Is Eligible To Be Hybrid And Requires Onsite Reporting Located Within Raleigh, NC

About the Office of the Secretary

The Office of the Secretary serves as the executive leadership arm of the North Carolina Department of Health and Human Services (NCDHHS), guiding the Department's mission to improve the health, safety, and well-being of all North Carolinians. Through strategic oversight and collaborative leadership, the Secretary's Office supports the effective coordination of over a dozen core divisions, ensuring that agency-wide priorities are aligned, resources are used responsibly, and services are delivered with equity and impact.

About DHHS Office of the Controller

The Office of the Controller sets and interprets all accounting and financial reporting policies and procedures for the Department as authorized by the rules and regulations of the Office of the State Controller and state statutes and executes all accounting transactions for DHHS.

Compensation and Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits.

Supplemental Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS:

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.

In accordance with the Governor's Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified.

Application Process

• Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
• Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers.
• Applications must be submitted by 11:59 PM the day before the closing date.
• Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check.
• Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.
• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.
• For a list of organizations that perform this specialized service, please visit the NACES membership website at

Degree/College Credit Verification

Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations, and cover letters may be uploaded with your application.

Veterans' and National Guard Preference

• Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.
• Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing.
• Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.

ADA Accommodations

Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable