The School of Dental Medicine in Alton, Illinois is seeking to fill a full-time Medical Insurance Representatives position.  Under direct supervision of the Accounting Associate, the Medical Insurance Representative reviews patient balances analyzing the make-up of the balance and communicates this to the clinic patients. Duties for the Medical Insurance Representative include but are not limited to:
-Take necessary actions to complete of process various types of routine, non-complex claims including third party payers.
-Accept payments and apply them to the patient’s account.
-Work with third party payers including all commercial insurance carriers and Medicaid.
-Analyze and reconcile patient accounts referring to patient chart as needed; investigate discrepancies and determine appropriate action required to complete the claim process, billing procedure or adjudication process.
-Conduct patient account analysis, including interpreting the coding, applying complex reimbursement policies and coordination of benefits.

The Medical Insurance Representative may be assigned additional duties and responsibilities in support of the department’s mission and goals.

This position is a current civil service vacancy at Southern Illinois University Edwardsville and will close to applicants at end of business day, 11:59 pm CST, on the posting end date.  SIUE offers an exceptional array of benefits to all full-time and part-time (50% or more) employees including medical, dental and life insurance; tuition waivers; financial savings plans; vacation and sick leave; and pension plan as part of a total compensation package to eligible employees.

To Apply for this Vacancy:

Click the “Apply for Position” button at the top of the job description page.  This will prompt you to access your existing HireTouch account or create a new account, only create a new account if you have NEVER done so previously.  After logging in or completing your new profile, you can then complete the required SIUE application documents for each individual position. 

Applicants must submit a completed Civil Service Application, which must include complete employment history, through HireTouch. If you do not possess any employment history, you must indicate this within the employment history section of the application. Your application should reflect all relevant skills and experience related to the minimum qualifications listed for this position.  While a resume may be submitted with the application, data for each employer must be listed on this application form. (The words "See Resume" may only be used as a substitute in the section entitled "Specific Duties Performed".)  If the application is incomplete you will not be considered for the position as our office will be unable to evaluate your application to determine if you possess the required minimum qualifications. 

If qualifying by education or to qualify for a required educational prerequisite, you must submit your transcripts, including those for SIUE, at the time of application. Applicants qualifying for Veteran’s preference must submit a copy of form DD214 at the time of application. For additional information, please visit: Eligibility Criteria and Point Allocation and Proof of Eligibility.   Please submit any other licenses or certifications related to the position at the time of application.

Applicants will be subject to a background check and/or drug screening prior to an offer of employment.  Some positions are represented by a union and may require union dues.

PLEASE NOTE: For all Civil Service positions, Illinois residency is required within 180 calendar days of the start date for the designated position.

For more information, please visit the Office of Human Resources website at www.siue.edu/human-resources or call Civil Service Testing at 618-650-2190. 

SIUE is focused on the health and safety of our faculty and staff while remaining committed to serving our students with the excellence that is a hallmark of SIUE.  Our Cougar Commitment plan provides both broad and specific actions that will allow SIUE to restore much of our campus’ energy through a safe and intentional science-based approach.  The role of higher education continues to be critical to the well-being of our communities and sustainability. Our careful planning is a testament to the importance of that mission, our stewardship and responsibilities to help shape a changing world.  

For more information on Our Cougar Commitment, visit our COVID-19 Response website at: https://www.siue.edu/about/announcements/coronavirus/

Any one or any combination that equals six (6) months from the categories below:
   (a)  Experience within a health insurance/medical billing environment.
   (b)  Medical billing certification from an accredited program (i.e., Certified Professional Coder (CPC); Registered Health Information Technician (RHIT); Certified Coding Specialist (CCS); Registered Health Information Administrator (RHIA); National Healthcareer Association (NHA)).
   (c)  College coursework in insurance/benefits administration, human resource management, health information management, finance, accounting or closely related fields such as business administration and/or business management:
      -30 semester hours equals six (6) months.
      -60 semester hours equals one (1) year.
      -90 semester hours equals two (2) years.
      -120 semester hours or higher equals three (3) years.