Medical Insurance Associate (12117)

Alton, IL 62202
United States

Application Closing Date
Manages Others
Experience Required
Degree Required
Accepts NHA Certifications
Security Clearance Required
From $29,955 To $29,955
Per Year    
Employment Type
Work Schedule
No Travel

Job Description

The SIU School of Dental Medicine is accepting applications for a full-time Medical Insurance Associate to work at the Alton, Illinois clinic. Working under the general supervision of an Accounting Associate, the Medical Insurance Associate will interpret data arising from moderately complex dental claims using detailed knowledge of dental procedures and codes. The Associate will review patient accounts, analyzing the make-up of the balance including payments from various third-party payers, any commercial insurance carriers and/or Medicaid, and communicate the balance totals to the clinic patients.

As part of their analysis, the selected candidate will interpret the coding in accordance with complex reimbursement policies and coordination of benefits, review and examine charges for consistency and accuracy indicated per chart notes while interpreting medical codes or procedures performed according to coding standards which may require clarification with codes provided by American Dental Association (ADA).

Additionally, the Medical Insurance Associate will:
-Process patient payments, both in person and mailed, and apply to accounts. Will also reconcile assigned cash drawer daily as well as ensure balancing totals to the control amount.
-Investigate discrepancies to determine appropriate action in order to complete the claim process, billing process or adjudication, and post and adjust files to accurately reflect findings.
-Respond to a variety of questions concerning the status of claims/treatments, account balances and charges or payments as well as maintain good customer service with all patients interpreting and explaining their account as needed.
- Enter and maintain insurance templates as well as patient-guarantor-insurance information in patient charts, and serve as a back-up for printing insurance claims and allocating insurance payments.

Further duties and responsibilities may be assigned in support of the department’s mission and goals.

The hours for this position are Monday – Friday, 8:00 a.m. – 4:30 p.m. (37.5 hours weekly) and require no weekend or evening hours. Full-time SIUE employees receive an excellent array of benefits that include medical, dental and life insurance; tuition waivers; financial savings plans; vacation and sick leave; generous holiday/administrative closure days; and pension plan. The dental school (including clinics) is closed for major holidays including Martin Luther King Day, Memorial Day, July 4, Labor Day, Thanksgiving (Thursday and Friday) and the week between Christmas and New Year’s Day.

The safety of our staff and patients is the number one priority during these uncertain times. The School of Dental Medicine (SDM) has created strict safety protocols for all students, residents, fellows, faculty, staff and patients to help ensure the health and well-being of everyone who enters the clinical environment. SDM administration will provide staff (with) all appropriate PPE’s per CDC and OSHA current guidelines. Faculty, students, residents, and staff are being screened daily to ensure that they have not developed any issues or had any exposures, as will patients entering the clinics for appointments. In regard to cleaning protocols, SDM is using enhanced cleaning methods as recommended by CDC, OSHA and other agencies.

This position is a current civil service vacancy at the SIU School of Dental Medicine in Alton, Illinois and will close to applicants at end of business day, 11:59 pm CST, on the posting end date.

Southern Illinois University Edwardsville nurtures an open, respectful, and welcoming climate that facilitates learning and work. SIUE is committed to education that explores the historic significance of diversity in order to understand the present and to better enable our community to engage the future. Integral to this commitment, Southern Illinois University Edwardsville strives for a student body and a workforce that is both diverse and inclusive. For more on our Statement of Diversity, visit:

To Apply for these Vacancies:

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.

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 or call Civil Service Testing at 618-650-2190. 

Job Requirements
Any one or any combination that equals one year from the categories below:
(a) Experience comparable to experience performed at the Medical Insurance Representative level or in other positions of comparable responsibility within the health insurance area.
(b) College credit for course work 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 months.
-60 semester hours equals one year.
-90 semester hours equals two years.
-120 semester hours or higher equals three years.

Please Note: The following medical billing certifications satisfy six months of the above requirement: Certified Professional Coder (CPC); Registered Health Information Technician (RHIT); Certified Coding Specialist (CCS); Registered Health Information Administrator (RHIA); National Healthcareer Association(NHA).