Job Details

Medical Billing and Collections Assistant

East Carolina University requires applicants to submit a candidate profile online in order to be considered for the position. Candidates must also submit a cover letter, resume, and a list of three references, including contact information, online. Applicants must be currently authorized to work in the United States on a full-time basis.

Position Details

Job Title - Medical Billing and Collections Assistant

Position Number - T10422

Vacancy Open to - All Candidates

Department - SAH Student Health Services

Advertising Department - STUDENT HEALTH SERVICE

Division - Student Affairs

Classification Title - 10422 Administrative Support Specialist

Competency Level - 2 - Journey

Working Title - Medical Billing and Collections Assistant

Number of Vacancies - 1

Full Time Equivalent (FTE) - 1.0

Full time or Part time - Full Time

Hourly Salary Rate/Range - $17.51

Position Location (City) - Greenville

Position Type - Temporary Staff

Job Category - Staff - Temporary

Be a Pirate! East Carolina University (ECU) is consistently ranked among the nation's top public universities for its commitment to research, innovation, social mobility, and public service. Classified as a R1 institution by the Carnegie Commission on Higher Education, ECU is among the top 5% of research universities in the United States, an elite designation reflecting the highest levels of research activity, funding, and doctoral output. Founded in 1907, ECU is a public, four-year university located in Greenville, N.C., which is widely regarded as the cultural, educational, economic, and medical hub of eastern North Carolina. Through education, research, healthcare, community engagement, athletics, cultural enrichment, and service, ECU enhances the quality of life for its students, the state and communities around the world. It is a great place to work, teach, and learn. ECU's commitment to impactful scholarship is further demonstrated through its repeated Carnegie Community Engagement Classification (2010, 2015, 2024), as well as its 2024 designation as a Carnegie Leadership for Public Purpose institution. These distinctions recognize the university's leadership in translating research into meaningful community partnerships and measurable societal benefits. The university supports its workforce through a wide range of professional development opportunities designed to foster career growth and skill advancement. Eligible employees also benefit from a comprehensive benefits package that promotes a healthy work-life balance.

Primary Purpose of Organizational Unit - The Division of Student Affairs is responsible for providing various student support, services and educational programs accessible to the university community. The division supports Pirate success through environments that enhance student development, engagement, belonging, well-being and career readiness. The division strives to be a national leader in developing student experiences that positively transform lives and communities through work that makes students the focal point of our services, policies and programming; creates a community where all feel safe, included and welcomed; treats each other with dignity and civility, and recognizes every individual has rights, ideas and beliefs; maintains open and honest interactions, and delivers high-quality programming, services and resources through continuous reflection and improvement.

Primary Purpose of Position - The temporary Medical Billing and Collections Assistant provides administrative support to the Student Health Services (SHS) Business Office, with an emphasis on insurance follow-up, collections, and a special project to reconcile outstanding accounts receivable and resolve a backlog of denied insurance claims. Reporting to the Billing Manager, this position works closely with SHS billing and collections staff, researches unpaid balances, reviews claim denials, corrects billing discrepancies, and assists with claim resubmission and appeals. The position maintains accurate account records, provides professional customer service, and handles confidential information in accordance with applicable privacy requirements and university policies. Key Responsibilities Include: Denial Backlog Review and Resolution (35%) Accounts Receivable Reconciliation and Collections (30%) Insurance Billing and Payment Support (15%) Student Communication and Customer Service (10%) Reporting and Process Improvement (5%) Confidentiality, Records, and Team Support (5%)

Minimum Education, Knowledge, Skills, and Experience - High school diploma or equivalency and one year of related office experience; or equivalent combination of training and experience.

License or Certification Required by Statute or Regulation - None

License or Certification Required by the Department - None

Preferred Education, Knowledge, Skills, and Experience - Experience in medical billing, insurance follow-up, collections, or accounts receivable. Familiarity with insurance claims, explanation of benefits statements, remittance advice, denials, and appeals. Experience using electronic health records, billing systems, and Microsoft Excel. Experience in customer-facing role

Job Open Date - 10/23/2026

Open Until Filled - No

Job Close Date - 10/30/2026

Nondiscrimination Statement - East Carolina University is committed to workforce success and cultivating a culture of care for our employees. ECU prohibits unlawful discrimination and harassment based on race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, disability, political affiliation, and veteran status. All qualified applicants will receive consideration for employment without regard to their protected veteran status or disability. Individuals requesting accommodation under the Americans with Disabilities Act Amendments Act (ADAAA) should contact the ADA Coordinator at (252) 737-1018 (Voice/TTY) or ADA - Coordinator@ecu.edu.

Eligibility for Employment - Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. ECU participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

Department for People Operations, Success, and Opportunity - If you experience any problems accessing the system or have questions about the application process, please contact the Department for People Operations, Success, and Opportunity at (252) 328-9847 or toll free at 1-866-489-1740 or send an email to employment@ecu.edu. Our office is available to provide assistance Monday-Friday from 8:00-5:00 EST.