Medical Insurance Associate

1 week ago


Springfield, Illinois, United States Southern Illinois University School of Medicine Full time

Job Title: Medical Insurance Associate - Patient Care Facilitator

Job Description:

Southern Illinois University School of Medicine seeks a dedicated and detail-oriented Medical Insurance Associate to serve as a patient care facilitator for SIU Center for Family Medicine – Springfield patients. This role requires strong communication and organizational skills, with the ability to navigate complex healthcare systems.

Responsibilities:
  • Act as a liaison between specialist offices, ancillary services, and managed care organizations to coordinate patient care.
  • Ensure seamless communication between providers, patients, and insurance companies to secure necessary approvals and documentation.
  • Maintain up-to-date records and directories for managed care organizations, employers, and network providers.
  • Provide feedback to nursing staff on patient referrals for laboratory or radiology services.
  • Collaborate with faculty, resident physicians, nurses, and other staff to ensure compliance with managed care guidelines.
Qualifications:
  1. One year (12 months) of experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.
  2. College coursework in a health-related field, business administration/management, human resource management, or closely related fields.
Benefits:
  • Paid time off including 13 holidays per year.
  • Paid sick time for personal illness, doctor visits, or family member illness.
  • Health, dental, and life insurance.
  • Optional life insurance for spouse and dependents.
  • Prescription drug benefits included in state health plan coverage.
  • Long-term disability insurance.
  • Flexible spending accounts for medical expenses and dependent care dollars.
  • Voluntary retirement accounts, including State of Illinois Deferred Compensation Plan (457) and Tax Deferred Annuity (403b).
  • Tuition waiver/tuition reimbursement for graduate or undergraduate education.
  • Leaves of absence, including FMLA and Extended Sick Leave Benefits.
  • Employee Assistance Program for counseling services and support.

Estimated Salary Range: $18.70 - $20.57 Hourly



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