Medical Insurance Associate (U) (4582)

The primary function of this position is to perform a wide variety of complex, specialized, data entry tasks including those which require the use of judgment and initiative. The work performed by the incumbent has an immediate and direct impact to the revenue cycle. The ability to work independently under general supervision. The ability to operate computer systems, using word processing, database and software packages. The ability to operate multiple systems simultaneously, including various Electronic Health Records.

90%

1. Provides a broad range of data entry support for the Department of Central Coding that requires a high level of accuracy.
2. Review and update existing patient demographic/insurance information while making applicable visits using the Patient Keeper Billing Report.
3. Enter charges into Patient Keeper and CB from billing sheets, spreadsheets, obtained after coder review.
4. Create stand-alone visits in order to capture charges for non-clinic-based services according to the SIU Stand Alone Visit Standard of Service.
5. Register patients in GE Business per established protocols.
6. Accurately update demographic and insurance information in GE Business at each visit entry.
7. Track and maintain orderly files for billing records.
8. Retrieve any additional information needed by accessing Memorial Citrix, St John's Epic, and outlying facilities.
9. Verify insurance information/eligibility using GE Eligibility Tool and insurance websites.
10. Research information obtain to ensure accuracy prior to data input.
11. Generate encounters for physician services.
12. Post manual charge tickets for provider services.
13. Work TES edit for missing visit edits.
14. Correspond with outlying facilities personnel to obtain information necessary to register patients for accurate charge capture.
15. Assist with compiling, summarizing, and organizing patient and billing information from a variety of sources.
16. Assist with reviewing missing charge and/or duplicated charge reports.
17. Assist with training and continually educate lower levels for support staff.
18. Work closely with supervisors and staff to determined the workflow or any issues.
19. Maintains the strict confidentiality required for medical records and other data.
20. Other duties as assigned.

10% Miscellaneous:

1. Assist co-workers such as other coding/ NON-RSS staff as needed.
2. Provided back up coverage for the Pre-Arrival team as needed.

1. Any one or combination totaling one (1) year (12 months) from the categories below:
   1. 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)
   2. Work experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.

If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.

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"Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."

Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.

Pre-employment background screenings required.