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Medical Insurance Associate - Revenue Cycle

University of Illinois Chicago
Chicago, IL Full Time
POSTED ON 2/8/2025
AVAILABLE BEFORE 3/9/2025
Hiring Department: Revenue Cycle

Location: Chicago, IL USA

Requisition ID: 1027972

FTE: 1

Work Schedule: Monday - Friday, 37.5 hours/week

Shift: Days

# of Positions: 1

Workplace Type: Hybrid

Posting Close Date: February 14, 2025

Salary Range (commensurate with experience): $26.46 - 28.64 / Hourly Wage

About the University of Illinois Hospital & Health Sciences System (UI Health)

The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health

Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits .

Description:

Under the general supervision of the Patient Accounts Manager, this position processes claims for billing and collections related to hospital services rendered to Medicare Part A/B beneficiaries. Resolving billing-related claim edits, addressing unresolved balances, and disputing denied claims, are functions a qualified candidate for this role are expected to execute.

The department would like to hire a candidate with some prior experience working within Hospital Patient Accounting. Requiring at least a prior year experience will ensure they are familiar with the general concepts when it comes to hospital based service. This mostly relates to Inpatient Care as it is reimbursed differently from clinic based care.

Duties & Responsibilities:

  • Transmits all claims electronically and hard copy.
  • Reviews, investigates and corrects rejected and denied claims.
  • Submits claims for reconsideration and appeal.
  • Prepares adjustments for processing.
  • Updates insurance as necessary.
  • Processes adjustments to Medicare.
  • Prepare refund requests.
  • Review accounts for Medicare bad debt placement.
  • May interact with internal and external customers by telephone and other means to resolve problems related to Revenue Cycle activities.
  • Perform other related duties and participate in special projects as assigned.

Minimum Qualifications Required:

  • 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.

Preferred Qualifications:

  • Over one (1) year of experience in medical billings and collections, specifically for hospital-based services.
  • Excellent communication skills
  • Prior experience with Epic
  • Prior experience with Medicare Billing Practices

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation

Salary : $26 - $29

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