at University of Illinois at Chicago in Chicago, Illinois, United States
Job Description
Medical Insurance Specialist - SCB Ophthalmology Clinic
Medical Insurance Specialist - SCB Ophthalmology Clinic
Hiring Department: SCB Ophthalmology Clinic
Hiring Unit: University of Illinois Hospital & Health Sciences System (UI Health)
Location: Chicago, IL USA
Requisition ID: 1025300
Posting Close Date: 6/21/2024
Position Number: CF1936
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. 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 a Medical Insurance Specialist to join our SCB Ophthalmology Clinic team. This role will work under general supervision, prepares billing forms for presentation to third party payers or the preparation of vouchers for the direct payment of bills. Assists with charge capture, reconciliation, claims processing and related business functions of the center.
Duties & Responsibilities:
Responsible for insurance processing and related billing functions:
Develops, implements, interprets, revises and enforces policies and procedures related to billing and business functions.
Assists with the establishment and monitors performance standards related to billing/business function quality and timeliness.
Completes insurance claim forms (simple to complex), identifies appropriate procedural and diagnostic coding (as needed) in consultation with providers.
Oversees the data entry (registration, charge capture, etc.) processes, including reconciliation/ correction, and related documentation.
Performs insurance verification and pre-authorization for services.
Consults with providers, patients and insurance companies/other third party payors related to claims denials or requests for additional information.
Responds to inquiries related to insurance, billing, and business functions.
Assists other staff members with billing/business operations questions.
Troubleshoots data entry and billing problems.
Prepares statistical, volume, and other activity reports related to billing and business operations.
Maintains center billing and business records.
Perform other related duties and participate in special projects as assigned.
Minimum Qualifications Required:
Any one or combination totaling two (2) years (24 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 equivalent:
30 semester hours equals one (1) year (12 months)
Associate's Degree (60 semester hours) equals eighteen months (18 months)
90 semester hours equals two (2) years (24 months)
B. Work experience in a healthcare environment working independently with medical claims, denials, rejections, referrals, and prior authorizations.
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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,... 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.
