Medical Billing and Collections Assistant

East Carolina University; South Carolina; On-site; USD 20,000 - 28,000; Full time

Job summary

East Carolina University in Greenville, NC seeks a Medical Billing and Collections Assistant to support the Student Health Services (SHS) Business Office. The role focuses on insurance follow-up, collections, and reconciling outstanding accounts receivable, while assisting with denied claims and appeals.

You will maintain accurate records, provide professional customer service, and handle confidential information in line with privacy policies.

Qualifications

• High school diploma or equivalent required; one year of related office experience preferred.
• Experience in medical billing, insurance follow-up, collections, or accounts receivable is preferred.
• Familiarity with insurance claims, EOBs, remittance advice, denials, and appeals is a plus.
• Experience using electronic health records and billing systems, plus Microsoft Excel.
• Customer-facing experience is desirable.

Responsibilities

• 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%).

Skills

Medical billing experience

Insurance follow-up

EHR systems

Customer service

Insurance claims

Education

High school diploma or equivalent

Tools

Billing software

Excel

Job description

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 Information

Job Title

Medical Billing and Collections Assistant

Position Number

T10422

Vacancy Open to

All Candidates

Department

SAH Student Health Services

Department Homepage

https://studenthealth.ecu.edu/

Advertising Department

STUDENT HEALTH SERVICE

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 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 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.

• 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

Equal Employment Opportunity

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.

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.

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