Job Details

Position Details

Position Information

Job Title
Medical Billing and Collections Assistant

Position Number
T10422

Vacancy Open to
All Candidates

Department
SAH Student Health Services

Department Homepage


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!

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

Special Instructions to Applicant

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.

Additional Instructions to Applicant

In order to be considered for this position, applicants must complete a candidate profile online via the PeopleAdmin system and submit the required documents, as requested. Additionally, applicants that possess the preferred education and experience must also possess the minimum education/experience, if applicable.

Unless otherwise identified in the applicable job posting and consistent with University policy, the University will principally employ individuals who reside in the State of North Carolina to the greatest extent practicable. As such, most positions at East Carolina University require employees to live and work in North Carolina (or live within a reasonable daily commuting distance from their duty station) after hire. Candidates should be prepared to relocate within a reasonable, agreed-upon time after an offer of employment has been made and accepted to meet this requirement.

Job Open Date
10/23/2026

Open Until Filled
No

Job Close Date
10/30/2026

Quick Link for Direct Access to Posting


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.