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Medical Insurance Representative - School of Dental Medicine (CS26-250)

$38.77k

Southern Illinois University Edwardsville

Medical Insurance Representative - School of Dental Medicine (CS26-250)

Salary: $38,773.44 Annually

Location: Alton, IL

Job Type: Full Time

Job Number: 01285

Organization: Dental Med, School of

Opening Date: 06/24/2026

Closing Date: 7/8/2026 11:59 PM Central

FLSA: Determined by Position

Description

Medical Insurance Representative - School of Dental Medicine (CS26-250)

To build on a strong foundation of achievement and contribute to the realization of its ambitious institutional goals, Southern Illinois University Edwardsville (SIUE) invites applications for the position of Medical Insurance Representative - School of Dental Medicine (CS26-250) . As a premier metropolitan university, SIUE is committed to advancing social and economic mobility while shaping the workforce of the future. Grounded in a comprehensive, broad-based education and enriched by hands-on research opportunities, SIUE equips its students with the knowledge and skills needed to succeed in a global marketplace and positively impact their communities.

Why SIUE?

Employing more than 2,400 faculty and staff members, SIUE is one of the largest employers in the Metropolitan St. Louis area. A study by SIUE School of Business faculty shows the University has a $1.3 billion annual economic impact on the region. Each year, the University's presence generates almost 9,000 additional jobs and more than $250 million in labor income for the area.

What You Will Do

  • Under direct supervision of the Accounting Associate, reviews patient balances analyzing the make-up of the balance and communicates this to the patient.
  • Takes necessary actions to complete or process various types of routine, non-complex claims including third party payers.
  • Accepts payments and applies them to the patient's account.
  • Analysis of a patient's account includes interpreting the coding and applying complex reimbursement policies and coordination of benefits.
  • Third party payers include all commercial insurance carriers and Medicaid.
  • Analyzes and reconciles patient accounts referring to patient chart as needed; investigates discrepancies and determines appropriate action required to complete the claim process, billing procedure or adjudication process.

FLSA: Non-Exempt

Minimum Acceptable Qualifications

High school diploma or equivalent. Any one or combination totaling six (6) months from the categories below: 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 six (6) months Work experience in a healthcare environment working with medical claims, denials, rejections, referrals, and/ or prior authorization. Knowledge of principles and processes for providing customer and personal services. Ability to evaluate information to determine compliance with standards, laws & regulations. Ability to apply individual judgment to determine if events or processes comply with laws, regulations or standards. Basic understanding of medical or insurance billing; Ability to use computers and computer systems. Knowledge of the English language including the meaning and spelling of words, rules of composition & grammar. Be dependable and possess attention to detail, integrity, stress tolerance, self control and concern for others.

Supplemental Information

Civil Service Information: Civil Service Application - FAQs Application Instructions: How to Apply - Step by Step (Download PDF reader)

Illinois Residency Requirement: Pursuant to the State Universities Civil Service System, out-of-state candidates must establish Illinois residency within 180 calendar days of the start date for this position.

Illinois residency requires proof of a valid Illinois Driver's License or state of Illinois ID Card. Failure to produce the required documentation within 180 calendar days is grounds for immediate separation.

Classification: State Universities Civil Service System Classification Number: 4581 SUCSS Classification Title. For more information on Civil Service classifications, please visit the State Universities Civil Service System website at:

Veterans: Veterans who qualify for preference must provide proof of eligibility within ten (10) working days of submitting an application. The required proof of eligibility includes, at a minimum, a copy of the veteran's DD214/DD215 form (Department of Defense), NGB22 form (National Guard), or Discharge Orders or DD256 Discharge Certificate (Reserves). For help in determining the appropriate proof of eligibility to submit, please refer to the Guide for Veteran Document Verification. (Download PDF reader)

Pre-Employment Screening: All external candidates who receive a job offer will be required to undergo pre-employment screening for this position. The screening process will encompass a criminal background check and, where applicable, other background checks such as a drug screen, verification of employment and education or licensure/certification, reference checks, and/or checks with relevant government registries. Please note that all job offers are contingent upon successful completion of the required screening process.

Work Authorization Information: SIUE will only employ those who are legally authorized to work in the United States and visa sponsorship for this position will not be provided. International students at SIUE on F-1 or J-1 visas are not eligible for full-time or part-time civil service positions with permanent status.

Accommodation: If you are unable to utilize our online application system and need to request an accommodation, please reach out to us at View phone number on click.appcast.io or via email at: View email address on click.appcast.io

EEO Statement

Southern Illinois University Edwardsville is an equal opportunity employer and thus prohibits discrimination against employees, applicants for employment and students on the basis of age, color, disability, marital status, national origin, race, religion, sex, sexual orientation, or veteran's status.

We value your interest and look forward to reviewing your application. For questions or more information, please email View email address on click.appcast.io.

Southern Illinois University Edwardsville
Vacancy posted 1 day ago
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