Employment Opportunities
Job Details

Job Description

Performs claims adjudication to ensure efficient claims operation in accordance with the Third Party Payer and Business Associate agreements between the Student Insurance office and the current underwriter of the student plan. Provides in-person service to students. Dispenses policy information, claims advice, procedural information, and provides guidance in benefit decisions to students, families, medical providers, and other University personnel.

Additional Information
University Benefit Highlights:

- Health, dental, vision, and life insurance
- Retirement and supplemental retirement
- Tuition waiver benefits are available to staff as well as their eligible dependents.
- Paid holiday/administrative closures during Thanksgiving and Winter Breaks
- Paid vacation and sick time

For more University Benefit information: https://hr.illinoisstate.edu/benefits/

Information regarding eligibility for participation in the State Universities Retirement System and the State of Illinois Group Insurance program can be reviewed here https://hr.illinoisstate.edu/benefits/insurance/

Qualifications

Required Qualifications
1. Any one or combination totaling two (2) years (24 months), from the categories below:
A. 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)
B. Work experience in a healthcare environment working independently with medical claims, denials, rejections, referrals, and prior authorizations.

Preferred Qualifications
1. Familiarity with policy benefits, exclusions, contract requirements, and with methods for resolving disputes and meeting unique needs of students, parents, hospital and physician representatives and other insurance carries.
2. Must know insurance carrier and office policies for processing claims, enrollment eligibility, insurance and medical terminology, and insurance principles.
3. Excellent communication skills are necessary.
4. Must be able to compose correspondence which explains or responds to complex questions about claims or the Student Insurance program.
5. Must comprehend medical terminology.
6. Must be able to recognize errors of understanding and provide clarification using initiative, tact, and judgment.
7. Ability to work on own initiative in accomplishing assigned task

Salary

$20.11 to $23.00 per hour

Links

ISU Jobs Website

Contact Information

University/Agency	Illinois State University
Department/College
Contact	Breanna Crippen
Phone Number	309-438-8311
Address
Comments	Please fully complete the entire application including, but not limited to, the education and work history portions. Be specific on your work history, including employment dates (if part-time you must list the number of work hours) and duties for all positions held. Applicable part-time work experience will be considered toward qualifying for this position; however, it will be converted to a full-time equivalency to determine combined length of experience. Please do not put "see resume" in the duties and responsibilities section of the work history. This will be considered an incomplete application and incomplete applications will not be considered. If you are using college or university coursework to qualify for this position, then transcripts (may be unofficial) must be submitted prior to the application deadline to receive full consideration. Transcripts can either be uploaded with your application or submitted via the options listed below. A copy of any related certifications (i.e. Certified Professional Coder (CPC); Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or National Healthcareer NHA)’s Billing and Coding Specialist (CBCS) must be submitted prior to the application deadline to receive maximum eligible points on the exam. This copy can either be uploaded with your application or submitted via the options listed below. To be eligible for Veteran's Preference points on the exam, appropriate military service documentation such as a DD-214 must be submitted prior to the application deadline. Fax: 309.438.0011, Attn: Breanna Crippen Address: Illinois State University Human Resources Campus Box 1300 Normal, IL 61790-1300 The Civil Service examination for this classification is based on your application materials and responses to the supplemental questions. No participation other than submission of applicant materials is required from applicants that qualify to take the exam. If you meet the minimum required qualifications for this position, you will receive a score calculated based on your education and experience, and your name will be placed on the active employment register by exam score. After the application deadline, the names within the top three scores will be referred to the department for interview. Illinois State University is authorized to do business within the State of Illinois. All work under this appointment is required to be performed from within the State of Illinois.