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Medical Insurance Specialist

University/Agency University of Illinois (College of Medicine at Peoria)
Civil Service Classification Medical Insurance Specialist
View Class Spec Details
Posting Duration 2/17/2020 - 2/28/2020
Probationary Period 6 months

Job Description

This position is responsible for analyzing and adjudicating denied claims within insurance, CMS, Medicaid and UICOMP guidelines. It confirms clearinghouse transmissions and acceptance of submitted claims, serves a liaison on complex claims, assists in training staff, and prepares denial related reports. The Medical Insurance Specialist provides guidance and/or explanation regarding denied claims and resolution of outstanding patient balances.


Qualifications

Any one or any combination that equals two (2) years (24 months), from the categories below:

A. experience comparable to that gained as a Medical Insurance Associate level or in other positions of comparable responsibility within the health insurance area

B. college credit for course work in insurance/benefits administration, human resource management, health information management, finance, accounting or closely related fields such as business administration and/or business management
?30 semester hours equals 6 months
?60 semester hours equals 1 year (12 months)
?90 semester hours equals 2 years (24 months)
?120 semester hours or higher equals 3 years (36 months)

Note: the following medical billing certifications satisfy (6) months of the above requirement: Certified Professional Coder (CPC); Registered Health Information Technician (RHIT); Certified Coding Specialist (CCS); Registered Health Information Administrator (RHIA); National Healthcareer Association (NHA)

ASSIGNED SPECIALTY FACTOR: Demonstrated ability to fluently speak Spanish.


Salary

Range minimum $19.00


Links

University of Illinois College of Medicine


Contact Information


University/Agency University of Illinois (College of Medicine at Peoria)
Department/College Human Resources
Contact Shannon Doerr
Phone Number 309-671-8518
Address 1 Illini Drive
Peoria, IL 61605
Comments Please e-mail Human Resources at sdoerr@uic.edu to request application instructions. Application deadline is February 26, 2020.

UICOMP is an EOE/AA/M/F/Disabled/Veteran. The University of IL may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Report Act.