Medical Insurance Associate (CS26-233)

Description

Medical Insurance Associate (CS26-233)

To build on a strong foundation of achievement and contribute to the realization of its ambitious institutional goals, Southern Illinois University Edwardsville (SIUE) invites applications for the position of Medical Insurance Associate (CS26-233) . As a premier metropolitan university, SIUE is committed to advancing social and economic mobility while shaping the workforce of the future. Grounded in a comprehensive, broad-based education and enriched by hands-on research opportunities, SIUE equips its students with the knowledge and skills needed to succeed in a global marketplace and positively impact their communities.

Why SIUE?

Employing more than 2,400 faculty and staff members, SIUE is one of the largest employers in the Metropolitan St. Louis area. A study by SIUE School of Business faculty shows the University has a $1.3 billion annual economic impact on the region. Each year, the University's presence generates almost 9,000 additional jobs and more than $250 million in labor income for the area.

What You Will Do

• Under general supervision of the Accounting Associate, interprets data arising from dental treatments.
• Involves detail knowledge of dental procedures and codes.
• Reviews patient balances analyzing the make-up of the balance and communicates this to the patient; accepts payments and applies them to the patient record.
• Analyzing a patient’s account includes interpreting the coding in accordance with complex reimbursement policies and coordination of benefits.
• Third party payers include all commercial insurance carriers and Medicaid.
• Analyzes and reconciles patient accounts; investigates discrepancies and takes appropriate corrective action.

FLSA: Non-Exempt

Minimum Acceptable Qualifications

Any one or combination totaling one (1) year (12 months) from the categories below:
College coursework in a health-related field, business administration/management, human resource management, or closely related fields as measured by the following conversion table or its proportional equivalent:
30 semester hours equals one (1) year (12 months)
Associate’s Degree (60 semester hours) equals eighteen months (18 months)
Work experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.



Knowledge, Skills, and Abilities


Knowledge of principles and processes for providing customer and personal services.
Ability to evaluate information to determine compliance with standards, laws & regulations.
Ability to apply individual judgment to determine if events or processes comply with laws, regulations or standards.
Willingness to take on responsibilities & challenges; to be adaptable & flexible when job requires;
Basic understanding of medical or insurance billing and medical terminology;
Ability to use computers and computer systems.
Knowledge of the English language including the meaning and spelling of words, rules of composition & grammer.
Be dependable and possess attention to detail, integrity, stress tolerance, self control and concern for others.
Ability to add, subtract, multiply and divide whole numbers, decimals and percentages.

Supplemental Information

Civil Service Information: Civil Service Application - FAQs



Application Instructions: How to Apply - Step by Step (Download PDF reader)

Illinois Residency Requirement: Pursuant to the State Universities Civil Service System, out-of-state candidates must establish Illinois residency within 180 calendar days of the start date for this position.

Illinois residency requires proof of a valid Illinois Driver’s License or state of Illinois ID Card. Failure to produce the required documentation within 180 calendar days is grounds for immediate separation.

Classification: State Universities Civil Service System Classification Number: 4582 – SUCSS Classification Title. For more information on Civil Service classifications, please visit the State Universities Civil Service System website at:

Veterans: Veterans who qualify for preference must provide proof of eligibility within ten (10) working days of submitting an application. The required proof of eligibility includes, at a minimum, a copy of the veteran's DD214/DD215 form (Department of Defense), NGB22 form (National Guard), or Discharge Orders or DD256 Discharge Certificate (Reserves). For help in determining the appropriate proof of eligibility to submit, please refer to the Guide for Veteran Document Verification. (Download PDF reader)

Pre-Employment Screening: All external candidates who receive a job offer will be required to undergo pre-employment screening for this position. The screening process will encompass a criminal background check and, where applicable, other background checks such as a drug screen, verification of employment and education or licensure/certification, reference checks, and/or checks with relevant government registries. Please note that all job offers are contingent upon successful completion of the required screening process.

Work Authorization Information: SIUE will only employ those who are legally authorized to work in the United States and visa sponsorship for this position will not be provided. International students at SIUE on F-1 or J-1 visas are not eligible for full-time or part-time civil service positions with permanent status.

Accommodation: If you are unable to utilize our online application system and need to request an accommodation, please reach out to us at 618-650-2190 or via email at: [email protected]

EEO Statement

Southern Illinois University Edwardsville is an equal opportunity employer and thus prohibits discrimination against employees, applicants for employment and students on the basis of age, color, disability, marital status, national origin, race, religion, sex, sexual orientation, or veteran’s status.

We value your interest and look forward to reviewing your application. For questions or more information, please email [email protected].