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
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University of Illinois (College of Medicine at Peoria)
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Department/College
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Human Resources
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Contact
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Shannon Doerr
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Phone Number
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309-671-8518
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Address
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1 Illini Drive Peoria, IL 61605
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Comments
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