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A common name for a common purpose.

As we transition to ECU Health in the coming weeks and months, you will notice changes to our digital landscape, including ongoing updates to this site. Throughout this rebranding and into the future we remain committed to the communities we proudly serve. We’re excited for this evolution, and what it means for the future of health care in eastern North Carolina.

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Patient Accounts Specialist II - Greenville

Job ID: 963447
Facility: ECU Health
Dept: VMG Business Office
Location: Greenville, NC
FT/PT: Full-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Apr 27, 2023

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Job Description

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

The Cash Applications Specialist II (CAS II) is responsible for accurately and efficiently handling all electronic and paper payments and for ensuring that all payments received are posted to the appropriate account and deposited in a timely manner for all ECU Health Hospitals and ECU Health Surgicenter. The CAS II also handles the bank deposits for ECU Health Management, AccessEast, ECU Health Foundation, Children's Miracle Network, University Health Systems and East Carolina Health. This position is responsible for general ledger keying, research, and processing non-voucher related adjustments. The CAS II will utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient (e.g., 835 remittances and lockbox technology).


Process electronic remittance files (835's) utilizing Epic's Remittance Module. Balances files to EFT or check deposits and to accounts receivable. Utilize payer and banking websites to obtain remittance advices and lockbox reports.
Manually post non-electronic remittance advices from third-party payers.
Utilize transaction audit and balancing reports to reconcile patient and non-patient cash with bank and general ledger. Log spreadsheets to capture and summarize daily reconciliation. Research and resolve discrepancies daily.
Identify and properly allocate non-patient cash. Key non-patient cash and wire transfer funds to the appropriate general ledger account.
Consistently adhere to and document all internal controls and accountability requirements.
Reviews payer bulletins and websites for changes in rules and regulations. Attends educational seminars and meetings.
Uses tact and courtesy in all interactions including but not limited to staff, patients, and payers. Promotes a positive image and supports management in goals and objectives. Handles inquiries and complaints discreetly and effectively.
Performs in accordance with accepted procedure and responds to special requests by management in a timely and accurate manner.
Balance and prepare bank deposits for ECU Health Hospitals, ECU Health Surgicenter, ECU Health Management, AccessEast, ECU Health Foundation, Children's Miracle Network, University Health Systems and East Carolina Health. Assemble deposit and balancing spreadsheets for scanning. Prepare manifests for Loomis to transport deposits. Ensure the integrity of all deposit items and cashwork.

Investigate inquiries regarding posting, keying, balancing, and deposit errors.

Minimum Requirements

High School degree plus 2 years or more education in Business, Accounting, Healthcare Management/Technology.

Knowledge of basic accounting and auditing controls, intermediate to advanced Excel skills required.

One year of related experience for one year of education up to two years.

3 to 5 years experience in hospital or physician office cash applications. Third party experience. Patient Accounting, Insurance, banking or auditing experience.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Angie J. Nichols, BS, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]


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