Medical Insurance Associate (13444)

Southern Illinois University Edwardsville
2800 College Avenue Campus Box 1040
Alton, IL 62202
United States

Application Closing Date
Experience Required
Degree Required
Accepts NHA Certifications
Security Clearance Required
From $35,946 To $35,946
Per Year    
Employment Type
Work Schedule
No Travel

Job Description

Illinois Residency Requirement: This position requires current Illinois residency to apply.

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 Associates 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. The SIU 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. SIUE offers an exceptional array of benefits to all full-time and part-time employees (50% or more receive benefits accrued at percentage of appointment) including:
*Medical, dental and vision insurance;
*Life insurance;
*University tuition waivers;
*SURS retirement plan;
*Supplemental retirement savings plans;
*Paid vacation and sick leave accrual;
*Generous holiday schedule/paid holidays;
*WorkLife programs;
*Employee Assistance Program (mental health and wellness);
*Employee discounts (local and national retailers).
For more about our benefits and employee services, visit:

This position closes to applicants at 11:50 p.m. CST on the posting end date. When applying through the HireTouch system, please be sure to complete updated 2022 forms that are attached to the job located under your Applicant Profile box (refresh browser if needed).

Applicants must submit an updated and complete Civil Service Application, which must include complete employment history, through HireTouch. The application is the last form in the document package. If you do not possess any employment history, you must indicate this within the employment history section of the application. Your application should reflect a thorough list of 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" not for a list of employment history.) If the Civil Service application is incomplete you will not be considered for the position as our office will be unable to evaluate your submission 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 incur union dues. For more information, please visit the Office of Human Resources website at or call Civil Service Testing at 618-650-2190.

Southern Illinois University Edwardsville nurtures an open, respectful, and welcoming climate that facilitates learning and work. As an Equal Opportunity Employer committed to an inclusive and diverse workforce, we will not discriminate against any person on the basis of race, national origin, religion, disability, age, marital status, sex, sexual orientation or veteran’s status. For more on our State of Diversity, visit SIUE Mission, Goals and Plans

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).
Southern Illinois University Edwardsville
Jennifer Oates-Blair
Office of Human Resources Campus Box 1040
Edwardsville IL 62026
United States
Southern Illinois University Edwardsville Jennifer Oates-Blair