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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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Health Service Account Rep - Billing

Job ID: 964835
Facility: ECU Health Medical Center
Dept: Pathology-Outreach
Location: Greenville, NC
FT/PT: Part-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Aug 25, 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

Health Services Account Representative assists in the coordination of outpatient/nonpatient billing and accounts receivable for the Outreach department of the laboratory, which can also include phlebotomy services. To serve as the liaison between the hospital laboratory and the outside accounts. To provide internal and external courier functions as related to the Outreach program.


Acts as the hospital/laboratory representative and courier between the hospital laboratory facilities and other hospitals, physicians offices and related locations. This includes use of the Outreach courier car to transport forms and laboratory supplies to account locations as well as pickup of specimens. Answers questions about types of laboratory tests, specimen requirements, turnaround times and other laboratory/hospital services.

Verifies the patients' insurance using e-verify, including obtaining copies of the patients' insurance cards and photo ID.

Registers the patient in the hospital computer system if the patient is going to be billed by the hospital business office. This includes alpha-searching the patient's name so as not to create duplicate medical record numbers in the computer systems, entering the patient's demographics, insurance information and the ICD 9CM encoded diagnosis information required for claim processing. If the client is to be billed instead of the patient, then the patient is registered in the laboratory computer system as well as the Outreach billing system.
Orders lab tests in the laboratory computer system or the Outreach billing system, depending on patient type. This includes alpha-searching the test code and entering comments as requested.

Checks each specimen for proper labeling, patient identification information, and relabeled with a computerized bar code label. It is then triaged to the appropriate technical department of the laboratory for processing.

Responsible for ensuring that laboratory results are returned to the ordering physician or facility in a timely manner by courier, autosend printer, autofax or fax.

Maintains manual accounts receivable records. This includes preparing monthly reports for the hospital accounts payable department and laboratory administration.
Responsible for daily entering client charges using the Outreach billing system for outside (invoice) accounts.

Responsible for processing invoices to the outside accounts monthly.

Responsible for posting invoice payments.

Responsible for the weekly maintenance of the Outreach courier car as required by the hospital Transportation department.

Maintains inventory of all lab supplies used by each outside account.

Reviews and resolves computer errors (inpatient and outpatient hospital lab charges) discrepancies.

Performs other duties as assigned including phlebotomy on outpatients.

Minimum Requirements

  • High School Diploma or higher
  • 6 months- 1 year experience in a clinical laboratory or related customer service experience
  • NC Driver's License Required

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:

D'metrius Dew, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]




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