Medical Insurance Specialist

Hiring Department : Medical Billing Location : Peoria, IL USA Requisition ID : 1041998 FTE : 1 Work Schedule : M - F, 8 a.m. - 4:30 p.m. Shift : Days # of Positions : 3 Workplace Type : On-Site Posting Close Date : 7/22/2026 Salary Range (commensurate with experience) : $22.48 - $23.86 Please note that this position is not remote and is onsite in Peoria, IL. Illinois Residency is required within 180 days of employment. Sponsorship for work authorization is not available for this position. Position Summary The Medical Insurance Specialist independently submits or takes the necessary actions to resolve rejected or denied insurance claims by performing all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow-up position will assume duties as a collector/denial specialist, to manage patient accounts receivable from the point of resubmission of rejected or denied medical claims through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Works under general supervision from the Revenue Cycle Manager. Duties & Responsibilities Conduct follow-up on unpaid or denied claims to ensure timely and accurate reimbursement. Analyze denial reasons and take appropriate action to appeal or resubmit claims. Contact payers and utilize online portals to resolve outstanding account balances. Collaborate with billing, coding and clinical staff to gather necessary documentation for appeals or corrections. Track and document follow-up activities in Epic. Quickly identify and solve problems, escalating recurring denial trends or payer issues to reimbursement coding specialist when necessary. Responsible to validate the payments and adjustments made on accounts are correct. Maintains daily work queues. Acts as a liaison between insurance and providers to ensure coverage and benefits are active at the time of billing. Identify authorization numbers saved in the system and attach them to our claims as needed for processing. Assist with training and continuous education for billing staff to ensure adherence to ethical billing practices. Perform other related duties as assigned, including supporting process improvements and serving as a technical resource and duties that are consistent with the lower level of the medical insurance series. Minimum Qualifications Any one or combination totaling two (2) years (24 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 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) Work experience in a healthcare environment working independently with medical claims, denials, rejections, referrals, and prior authorizations. The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. #J-18808-Ljbffr