Address
Form of workMedical Insurance Assistant Manager - UICOMP Medical Billing
Hiring Department: Medical Billing
Location:Peoria, IL USA
Requisition ID: 1022452
Posting Close Date:December 12, 2023
This position is located on the Peoria campus 170 miles southwestof Chicago. (On-Site Work - Not Remote).
The University of Illinois College ofMedicine Peoria (UICOMP) educates 265 medical students and more than 300physician residents and fellows annually. Additionally, it provides clinicalcare to more than 31,000 patients annually and conducts basic science, clinicaland outcomes research. UICOMP is a regional campus of the University ofIllinois College of Medicine, a part of the University of Illinois Chicago andUniversity of Illinois System. The College of Medicine Peoria is home to theCancer Research Center, Center for Wellbeing, and is a collaborator in JumpSimulation. Learn more about UICOMP at http://peoria.medicine.uic.edu.
UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI).Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent "Best Colleges" rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.
Description:
The Medical Insurance Assistant Manager supervises staff that perform various receivables and claims collection activities. The position will evaluate necessary actions to correctly post payments and refund claims/billing. It oversees and assists Medical Insurance Specialists in verifying patient payment sources and manages other patient account inquiries. It is responsible for monitoring safeguards that protect patient medical information via the Health Insurance Portability and Accountability Act (HIPAA).Reviews and advises regarding functions of the University Financial System's (BANNER) compliance with all University of Illinois educational system financial requirements for reporting in regards to receivables and claims processing. The position works under administrative direction from the Director of Fiscal Affairs.
Duties & Responsibilities
The Medical Insurance Assistant Manager oversees staff who review claimsand personal data for accuracy obtained from outside entities and via patientcommunication. Directs and advises positions that communicate with physicians,patients, insurance companies and governmental representatives to verify thestatus of claims.Manages and reviews and posts payments posting into EPIC (EHR) from insurance, Medicaid,Medicare, and patients. Develops a thorough understanding of the types oftransactions that occur within a patient's financial record. Approves MSPrefund documents for accuracy and provides final approval.
Posts reconciliation entries communicated from the accounting department located in Urbana on a monthly basis. Prepares monthly reports created from data acquired from the EHR. Posts monthly journal entries in BANNER to record charges, payments, and adjustments. Assists in the annual budget process for the Medical Billing department and communicates with the Director of Fiscal Affairs regarding departmental revenue and expenses.Prepares other reports as requested.
Evaluates, develops, implements, revises and communicates procedure manuals detailing job duties, policies, procedures and processes performed by accounting officers and Medical Insurance specialists. Addresses compliance issues as needed.Audits patient accounts for compliance with payment, write-off, and charity assistance guidelines. Reconciles discrepancies and prepares correcting entry documentation. Performs audits to verify appropriate documentation is being saved for transaction verification. Approves accounts being sent to collections.
Develops and monitors productivity reports generated from the electronic medical records system, EHR (Epic) to ensure staff are meeting productivity requirements. Develop, communicate and monitor that staff are actively following operation policies and procedures. Assists customer service personnel with patient inquiries and applies sound judgement to resolve account disputes.
Supervision of accounts receivable staff including Accounting Officers, Medical Insurance Specialists, and all cash activities performed by Medical Billing staff. Participates in interviews for open positions, participates in selection, supervises, trains staff, and performs probationary reviews and annual staff evaluations. Participates in staff meetings and in special projects as assigned.
Performs other related duties and research. Perform duties of the lower level of the series. Serves as a resource, liaison and subject expert on payment posting and refunds providing information and answering inquiries.
Qualifications:
Minimum Qualifications
Preferred Qualifications
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, COVID-19 vaccination requirement, and employment eligibility review through E-Verify.
The university provides accommodations to applicants and employees. Request an Accommodation
Hiring Department: Medical Billing
Location:Peoria, IL USA
Requisition ID: 1022452
Posting Close Date:December 12, 2023
This position is located on the Peoria campus 170 miles southwestof Chicago. (On-Site Work - Not Remote).
The University of Illinois College ofMedicine Peoria (UICOMP) educates 265 medical students and more than 300physician residents and fellows annually. Additionally, it provides clinicalcare to more than 31,000 patients annually and conducts basic science, clinicaland outcomes research. UICOMP is a regional campus of the University ofIllinois College of Medicine, a part of the University of Illinois Chicago andUniversity of Illinois System. The College of Medicine Peoria is home to theCancer Research Center, Center for Wellbeing, and is a collaborator in JumpSimulation. Learn more about UICOMP at http://peoria.medicine.uic.edu.
UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI).Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent "Best Colleges" rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.
Description:
The Medical Insurance Assistant Manager supervises staff that perform various receivables and claims collection activities. The position will evaluate necessary actions to correctly post payments and refund claims/billing. It oversees and assists Medical Insurance Specialists in verifying patient payment sources and manages other patient account inquiries. It is responsible for monitoring safeguards that protect patient medical information via the Health Insurance Portability and Accountability Act (HIPAA).Reviews and advises regarding functions of the University Financial System's (BANNER) compliance with all University of Illinois educational system financial requirements for reporting in regards to receivables and claims processing. The position works under administrative direction from the Director of Fiscal Affairs.
Duties & Responsibilities
The Medical Insurance Assistant Manager oversees staff who review claimsand personal data for accuracy obtained from outside entities and via patientcommunication. Directs and advises positions that communicate with physicians,patients, insurance companies and governmental representatives to verify thestatus of claims.Manages and reviews and posts payments posting into EPIC (EHR) from insurance, Medicaid,Medicare, and patients. Develops a thorough understanding of the types oftransactions that occur within a patient's financial record. Approves MSPrefund documents for accuracy and provides final approval.
Posts reconciliation entries communicated from the accounting department located in Urbana on a monthly basis. Prepares monthly reports created from data acquired from the EHR. Posts monthly journal entries in BANNER to record charges, payments, and adjustments. Assists in the annual budget process for the Medical Billing department and communicates with the Director of Fiscal Affairs regarding departmental revenue and expenses.Prepares other reports as requested.
Evaluates, develops, implements, revises and communicates procedure manuals detailing job duties, policies, procedures and processes performed by accounting officers and Medical Insurance specialists. Addresses compliance issues as needed.Audits patient accounts for compliance with payment, write-off, and charity assistance guidelines. Reconciles discrepancies and prepares correcting entry documentation. Performs audits to verify appropriate documentation is being saved for transaction verification. Approves accounts being sent to collections.
Develops and monitors productivity reports generated from the electronic medical records system, EHR (Epic) to ensure staff are meeting productivity requirements. Develop, communicate and monitor that staff are actively following operation policies and procedures. Assists customer service personnel with patient inquiries and applies sound judgement to resolve account disputes.
Supervision of accounts receivable staff including Accounting Officers, Medical Insurance Specialists, and all cash activities performed by Medical Billing staff. Participates in interviews for open positions, participates in selection, supervises, trains staff, and performs probationary reviews and annual staff evaluations. Participates in staff meetings and in special projects as assigned.
Performs other related duties and research. Perform duties of the lower level of the series. Serves as a resource, liaison and subject expert on payment posting and refunds providing information and answering inquiries.
Qualifications:
Minimum Qualifications
- Any one or combination totaling five (5) years (60 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)
- 90 semester hours equals two (2) years (24 months)
- Bachelor's Degree (120 semester hours) equals three (3) years (36 months)
- Progressively more responsible work experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.
- 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:
Preferred Qualifications
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, COVID-19 vaccination requirement, and employment eligibility review through E-Verify.
The university provides accommodations to applicants and employees. Request an Accommodation
