Billing Follow-up Specialist

Location: Boone, North Carolina | Full-Time | Monday–Friday

Why You'll Love Working Here

As a Billing Follow-up Specialist at UNC Health Appalachian, you'll help ensure our billing processes result in accurate, timely reimbursement — working directly with patients and third-party payors to resolve accounts efficiently and with care. You'll be part of a mission-driven health system committed to patient experience, quality, teamwork, and professional growth.

Nestled in the scenic Appalachian Mountains, Boone offers the perfect blend of community, culture, and outdoor adventure.

• Compensation: Starting at $16.97 per hour, based on education and experience.
• Benefits: Comprehensive medical/dental/vision, retirement with match, PTO, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

What You'll Do as a Billing Follow-up Specialist

• Ensure billing processes, practices, and procedures result in appropriate, effective, and efficient reimbursement.
• Perform follow-up activities, including interaction with patients and third-party payors to resolve outstanding accounts.
• Handle patient and family interactions with compassion, respect, and professionalism.
• Support top-tier outcomes for patient experience, quality, and safety.
• Adhere to UNC Health Appalachian policies, regulatory requirements, and standards of behavior.
• Approach work with a bias for action, efficiency, and personal accountability, modeling UNC Health Appalachian's Mission, Vision, and Values.
• Foster professional, productive working relationships that promote a healthy work environment.

Qualifications

• Education:
  • Associate degree in Accounting, Finance, or a related field required.
  • Bachelor's degree in Accounting, Finance, or a related field preferred.
• Experience:
  • 3 years of experience working in a billing environment.
  • Billing experience in a large, acute care hospital preferred.
• Licensure/Certifications:
  • Licensure not required.
  • Certification may be obtained through the Professional Association of Health Care Office Management, or health information management certification through the American Health Information Management Association (AHIMA).
  • Basic Life Support (BLS) from the American Heart Association required at time of hire.
• Skills & Abilities:
  • Strong communication skills; ability to work within the chain of command using positive verbal and non-verbal techniques.
  • Previous experience in medical billing, including Medicare.
  • Experience with CPT and ICD-10 codes.
  • Knowledge of the continuum of care provided within the organization.
  • Exceptional customer service for patients, families, staff, and physicians.

Physical & Work Environment

• Prolonged sitting, with periods of standing and walking, often 8+ hours per day.
• Occasionally lift, carry, push, or pull up to 30 lbs.
• Frequent hand, finger, and wrist repetition; near visual acuity and close eye work; speaking, reading, and writing for extended periods.
• Standard office environment.

What Sets Us Apart

• Career Growth: Structured advancement pathways, tuition reimbursement, and ongoing development through our Career Pathways Program.
• Impactful Work: As a Billing Follow-up Specialist, you'll keep the financial side of care running smoothly — ensuring accurate reimbursement that supports services across our three community hospitals and outpatient facilities.
• Community & Lifestyle: Boone ranks among the best small towns in America, offering outdoor recreation, arts, culture, and a welcoming atmosphere.
• Inclusive Culture: UNC Health Appalachian is committed to diversity, equity, and inclusion, ensuring every team member feels valued and supported.

Ready to bring your billing expertise to a team that keeps care moving? Apply today to join UNC Health Appalachian and make a lasting impact on our community.

About UNC Health Appalachian
UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. UNC Health Appalachian is dedicated to promoting health in the High Country, enhancing quality of life, and “making life better.”

About UNC Health
UNC Health is a state entity and an affiliate of the University of North Carolina system, with 14 hospitals, 18 hospital campuses, and more than 500 clinics plus the UNC School of Medicine’s clinical programs. UNC Health is committed to improving the health of North Carolinians and supports the university’s teaching mission. Over the past three years, UNC Health has provided over $400 million in uncompensated or charity care. For more information, visit unchealth.org.

UNC Health Appalachian values diversity and inclusion and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We encourage applications from all backgrounds and experiences and are committed to a fair, respectful hiring process. If you require accommodations during the application process, please contact us.

Employment is contingent upon successful completion of a background and drug screen.

For accommodations or additional information, contact recruitment@apprhs.org.