Business Office Associate Jobs in North Carolina
Business Office Associate jobs in North Carolina are consistently active, with strong demand concentrated in healthcare systems, higher education, and financial services from the Research Triangle and Charlotte to Greensboro and Winston-Salem. Large employers such as Duke Health, Atrium Health, and UNC Health regularly hire business office associates across patient billing, insurance verification, and administrative operations at every level from entry-level coordinators to senior specialists. The most in-demand specialties in North Carolina include medical billing, accounts receivable management, and insurance authorization. See the openings below and apply to the ones that match your experience.
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POSITION SUMMARY
The Assistant Business Office Manager (ABOM) is responsible for assisting the Business Office Manager (BOM) with all business office functions including medical billing, accounts receivable, and resident trust fund management with a special focus on Medicaid and Third-Party payer sources. In the absence of the BOM, the ABOM will complete BOM duties as necessary and assume responsibility for the management of the business office department.
GENERAL RESPONSIBILITIES:
Assists the BOM in completion of all business office functions; assumes responsibility for business office functions in the absence of the BOM.
Attends and participates in stand-up and other meetings in absence of the BOM.
Assists with scheduling of business office staff as needed.
Assists in all functions of patient / resident fund management system including accurate accounting, maintenance, and security of patient / resident funds.
Ensures that patient / resident fund transactions are accurately recorded in the system in a timely manner and that accounts reconcile.
Receives and responds to resident / family questions regarding billing in a timely manner.
Assists BOM as requested in follow-up and collection of all payer sources.
Makes collection calls to proactively prevent accounts from becoming delinquent.
Assists the BOM in the processing and evaluating of the pre-admission financial reviews.
Assists the BOM in monitoring private pay accounts to communicate with residents / families regarding Medicaid eligibility and the application process.
Assists the BOM in the completion of end of month pre-close and close processes to ensure timely and accurate billing of all accounts.
Ensures all mandatory training is completed on time.
Performs other duties as necessary for the successful operation of the healthcare center.
MEDICAID / THIRD-PARTY:
Takes lead on follow-up and collection of Medicaid and Third-Party payer sources.
Identifies and works to resolve billing issues with Medicaid & Third-Party accounts.
Monitors Medicaid & Third-Party aging reports and conducts follow-up on unpaid and underpaid claims; takes appropriate action to correct and re-bill if necessary for re-imbursement.
Monitors payer websites for claim status, patient pay reports, and patient eligibility.
Establishes and maintains positive, professional relationships with the local Medicaid Eligibility Offices at the Department of Social Services.
Accurately and completely documents status updates in Point Click Care (PCC) on all accounts regularly.
Submits and tracks required forms for Medicaid payer sources including admission, level of care change, and discharge notifications in a timely manner.
Completes and submits requests for patient pay adjustments in a timely manner.
Ensure that Medicaid applications and renewals are completed and followed-up on appropriately.
PREREQUISITES, SKILLS, & ABILITIES:
Account analysis and auditing experience.
Experience in long-term care and/or medical office background preferred.
Verbal and written communication skills.
Computer skills with accounting software knowledge.
Knowledge of basic office machines.
Excellent organizational skills with attention to detail.
Able to handle multiple priorities.
Able to work without direct supervision.
Able to work as a team leader.
High level of professionalism in appearance and demeanor.
POSITION SUMMARY
The Assistant Business Office Manager (ABOM) is responsible for assisting the Business Office Manager (BOM) with all business office functions including medical billing, accounts receivable, and resident trust fund management with a special focus on Medicaid and Third-Party payer sources. In the absence of the BOM, the ABOM will complete BOM duties as necessary and assume responsibility for the management of the business office department.
GENERAL RESPONSIBILITIES:
Assists the BOM in completion of all business office functions; assumes responsibility for business office functions in the absence of the BOM.
Attends and participates in stand-up and other meetings in absence of the BOM.
Assists with scheduling of business office staff as needed.
Assists in all functions of patient / resident fund management system including accurate accounting, maintenance, and security of patient / resident funds.
Ensures that patient / resident fund transactions are accurately recorded in the system in a timely manner and that accounts reconcile.
Receives and responds to resident / family questions regarding billing in a timely manner.
Assists BOM as requested in follow-up and collection of all payer sources.
Makes collection calls to proactively prevent accounts from becoming delinquent.
Assists the BOM in the processing and evaluating of the pre-admission financial reviews.
Assists the BOM in monitoring private pay accounts to communicate with residents / families regarding Medicaid eligibility and the application process.
Assists the BOM in the completion of end of month pre-close and close processes to ensure timely and accurate billing of all accounts.
Ensures all mandatory training is completed on time.
Performs other duties as necessary for the successful operation of the healthcare center.
MEDICAID / THIRD-PARTY:
Takes lead on follow-up and collection of Medicaid and Third-Party payer sources.
Identifies and works to resolve billing issues with Medicaid & Third-Party accounts.
Monitors Medicaid & Third-Party aging reports and conducts follow-up on unpaid and underpaid claims; takes appropriate action to correct and re-bill if necessary for re-imbursement.
Monitors payer websites for claim status, patient pay reports, and patient eligibility.
Establishes and maintains positive, professional relationships with the local Medicaid Eligibility Offices at the Department of Social Services.
Accurately and completely documents status updates in Point Click Care (PCC) on all accounts regularly.
Submits and tracks required forms for Medicaid payer sources including admission, level of care change, and discharge notifications in a timely manner.
Completes and submits requests for patient pay adjustments in a timely manner.
Ensure that Medicaid applications and renewals are completed and followed-up on appropriately.
PREREQUISITES, SKILLS, & ABILITIES:
Account analysis and auditing experience.
Experience in long-term care and/or medical office background preferred.
Verbal and written communication skills.
Computer skills with accounting software knowledge.
Knowledge of basic office machines.
Excellent organizational skills with attention to detail.
Able to handle multiple priorities.
Able to work without direct supervision.
Able to work as a team leader.
High level of professionalism in appearance and demeanor.
See All 31 Business Office Associate Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find JobsBusiness Office Associate Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Business Office Associate Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in business office associate jobs across North Carolina.
- Associate or bachelor's degree in business administration, healthcare management, or a related field
- Experience with medical billing software such as Epic, Meditech, or Cerner in a clinical or hospital setting
- Proficiency in accounts receivable, insurance verification, and healthcare revenue cycle processes
- Strong knowledge of ICD-10 and CPT coding principles used in North Carolina healthcare billing environments
- Demonstrated ability to manage patient accounts, resolve billing discrepancies, and communicate with payers
- Proficiency in Microsoft Office Suite, especially Excel, with attention to detail in data entry and reporting
Business Office Associate Jobs in North Carolina: Frequently Asked Questions
How do you become a business office associate in North Carolina?
Most business office associate positions in North Carolina require at least an associate degree in business administration, healthcare management, or a related field, though many large employers accept equivalent experience. The role does not carry a state-issued license in North Carolina, but employers in healthcare settings often require familiarity with revenue cycle operations and may prefer candidates with a Certified Revenue Cycle Representative credential from the Healthcare Financial Management Association. Starting in patient access or medical records at a North Carolina hospital or health system is a common entry path.
Which companies hire business office associates in North Carolina?
North Carolina business office associate roles are posted by Heartland Dental, ALG Senior, and RHA Health Services and others right now, based on current listings on Migrate Mate as of October 2026. North Carolina's large healthcare networks, university systems, and regional financial institutions are consistently among the most active hirers for this role statewide.
Which North Carolina cities have the most business office associate jobs?
Raleigh, Charlotte, and Wilmington have the highest concentration of business office associate openings in North Carolina. The Research Triangle anchors much of the demand through its dense cluster of hospital systems, university campuses, and corporate headquarters, while Charlotte's financial services and growing healthcare sectors drive strong hiring in the southwestern part of the state.
Are there remote business office associate jobs in North Carolina?
Yes, and they are more available than in many comparable roles. About 29% of business office associate openings tied to North Carolina are remote or hybrid as of October 2026, reflecting the desk-based and digital nature of much of the work. Revenue cycle coordination, insurance authorization, and billing functions are the parts of the role most frequently offered remotely by North Carolina employers.
How can I get hired as a business office associate in North Carolina with little or no experience?
The most realistic entry path is applying to patient access representative or front-desk coordinator roles at North Carolina hospital systems such as Duke Health, Atrium Health, or WakeMed, which regularly hire candidates without direct billing experience and provide on-the-job training in revenue cycle processes. Community college business administration programs at institutions like Wake Technical Community College can strengthen an application. Gaining familiarity with Epic or Meditech through a certificate course and earning a Certified Healthcare Access Associate credential gives candidates a measurable edge when competing against experienced applicants.
Where can I find and apply to business office associate jobs in North Carolina?
You can find and apply to business office associate jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Search the listings to identify roles that fit your experience level and location, then apply directly to the ones that match.
See All 31 Business Office Associate Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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