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Medical Insurance Manager

4 months ago

Chicago, Illinois, United States University of Illinois Chicago Full time


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
:

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:

  1. 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 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)
    • Bachelor's Degree (120 semester hours) equals three (3) years (36 months)
    B. Work experience in supervision or management or other positions of similar responsibility with experience in a healthcare environment working 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, 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

Looking for more University of Illinois positions?

We invite you to search for positions at each of the University of Illinois locations, the University of Illinois System Office and the University of Illinois Foundation. The University of Illinois System Office supports the primary missions of teaching, research, public service, and economic development for all of the Universities and offers positions in all locations. The University of Illinois Foundation is the official fundraising and private gift-receiving agency for the University of Illinois and also offers position in all locations. Click the links below to search for other University of Illinois positions.

University of Illinois Urbana-Champaign

University of Illinois Springfield

University of Illinois System Office

University of Illinois Foundation

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.

To apply, visit

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