at University of Illinois at Chicago in Chicago, Illinois, United States
Job Description
Medical Insurance Manager (Managed Care & Medicare)
Medical Insurance Manager (Managed Care & Medicare)
Hiring Department: Revenue Cycle
Hiring Unit: University of Illinois Hospital & Health Sciences System (UI Health)
Location: Chicago, IL USA
Requisition ID: 1025278
Posting Close Date: 6/14/2024
Position Number: CF2001
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 at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are 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.
This is a full-time and benefits eligible position. Hybrid and flexible work schedules are available. UI Health offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits
UI Health is seeking two Medical Insurance Managers to join our Hospital Billing (HB) Revenue Cycle team using the EPIC platform. One of the positions will manage HB Managed Care billing, collections and related processes and the other position will manage HB Medicare billing and related processes. The roles will be accountable for related operations, supervise staff responsible for billing claims, routing upstream issues, and resolving denials to ensure accurate and timely collections. To be successful in this role, Managers are required to have in-depth knowledge of related billing, compliance, and various requirements for the applicable position for which they are applying.
Duties & Responsibilities:
Bill all Medicare primary/secondary either electronically or hard copy. The types of accounts which may include outpatient, inpatient, DME and IME claims.
Bill all Managed Care, Commercial, Medicare Managed Care and other financial classes, including primary/secondary either via electronically or hard copy. The types of accounts will include outpatient, inpatient, and IME claims.
Supervision - Monitors staff activity and coaches improvements to staff knowledge and process adherence. Conduct all performance reviews and provide feedback to employees. Work with employees to address and performance issues and escalate any issues to Patient Accounting Director.
Performance Goals - Meets or exceeds established standards for metrics specific to assigned Accounts Receivable inventory.
Compliance - Maintains the highest standards of compliance within all work.
Communication - Communicating internally between teams and externally between payers or vendors with a high-level of clarity and specificity for efficient communication.
Ongoing Training- Ongoing training for process changes and overall professional development.
Medicare Payer Systems - Navigate and understand Medicare-specific systems such as IMPACT.
Denial Resolution - Identify root-cause denial causes to fix issues and collect insurance Accounts Receivable.
Workqueue Resolution - Resolve items from workqueues at the expected industry rates and monitoring overall volume for escalation.
Perform other related duties and participate in special projects as assigned.
Minimum Qualifications Required:
Any one or combination totaling six (6) years (72 months), from the categories below:
A. 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... For full info follow application link.
The University of Illinois 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 Reporting Act.
The University of Illinois Chicago is an affirmative action, equal opportunity
institution/employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, sexual orientation, gender identity, veteran or disability status, height, weight, or marital status in employment or the provision of services.
