IVH-Q MEDICARE INSURANCE COORDINATOR-PSA

Position Overview

Essential Functions

• Under the general direction of the Business Administrator, in accordance with established standards and administrative policies, functions as the Medicare/Insurance Reimbursement billing Coordinator for the Dept. of Veterans Affairs Agency, with authority for determining, implementing and establishing the billing program for both professional services and supplies to Medicare/insurance.
• Serves as working supervisor.
• Establishes and evaluates the goals and the quality assurance program to ensure the effectiveness of each facility's processes, procedures, document flows, and communication systems for the billing of the supplies and services for each of the DVA Veterans' Homes.
• Provide billing staff direction and create standards of performance.
• Arrange for and/or conduct frequent in-service sessions at each DVA Veterans Home for all providers, including physicians, and auxiliary staff.
• Publish to each Veterans Home and to the DVA Central Office Administration Insurance/Medicare Status Reports with information about each Veterans' Home, apprising them about the billing program including claims filed and revenue collected.  
• Research and evaluate all impacting regulations and regulatory agency changes to identify the effect on DVA Veterans' Home's billing program.
• Evaluate billing software and electronic coding applications for regulation compliance and effectiveness.
• Performs other duties as require or assigned which are reasonably within the scope of the duties enumerated above.

Minimum Qualifications

• Requires knowledge, skill, and mental development equivalent to completion of four years college.
• Requires three years responsible administrative experience in a public or business organization. 

Preferred Qualifications

• Prefers at least three (3) years of experience developing and managing a supportive agency program.
• Prefers at least three (3) years of experience in insurance and Medicare billing, ICD-9-CM coding, CPT and HCPCS usage and billing regulations.
• Prefers at least three (3) years of experience utilizing medical terminology and disease processes relative to the services and supplies being billed.
• Prefers at least three (3) years of experience utilizing electronic billing, computerized medical and demographic information.
• Prefers at least three (3) years of experience designing and implementing workflow systems, establishing statistical reports, developing spreadsheets and utilizing billing applications on personal computers and networks. 

Conditions of Employment

All applicants must be able to meet the following Conditions of Employment, with or without reasonable accommodation, to be considered for this position. The State of Illinois complies with federal and state disability laws and will make reasonable accommodations for applicants and employees with disabilities. This position requires:

•  Requires ability to pass a background check.
•  Requires the ability to pass a drug screen and pre-employment physical.
•  Requires the ability to meet all agency vaccine/health-related policies and guidance.
•  This position has been found to meet the requirements in section 4A-101 of the Illinois Governmental Ethics Act requiring the occupant/employee to file a Statement of Economic Interest. The Illinois Governmental Ethics Act (5 ILCS 420/4A et seq.) requires certain state officials and employees to file annual Statements of Economic Interest with the Office of the Secretary of State that will be made available for examination and copying by the public. All employees required to file a Statement of Economic Interest are also required to file the Supplemental Statement of Economic Interest with Executive Ethics Commission. (See Executive Order 15-09) Fines and penalties apply to untimely filings.
•  Requires the ability to utilize office equipment, including personal computers.
•  Requires ability to attend seminars, conferences, and trainings to stay current on methods, tools, ideologies, or other industry related topics relevant to the job duties.
•  Requires ability to travel in the performance of duties, with overnight stays as appropriate. 
•  This position is considered sedentary work as defined by the U.S. Department of Labor (20 CFR 404.1567(a)). Sedentary work involves lifting no more than 10 pounds at a time and requires occasional lifting, carrying, walking, and standing. 
•  Certain provisions of the revolving door restrictions contained in 5 ILCS 430/5-45 apply to this position. As a result, the employee should be aware that if offered non-State employment during state employment or within one year immediately after ending State employment, the employee shall, prior to accepting any such non-State employment offer, notify the Office of the Executive Inspector General for the Agencies of the Illinois Governor (OEIG) or may be subject to a fine.
•  Overtime is a condition of employment, and you may be requested or required/mandated to work overtime including scheduled, unscheduled, or last-minute overtime. This requires the ability to work evenings and weekends. 

The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.

Will you be able to meet these Conditions of Employment with or without reasonable accomodations?

About the Agency

The Illinois Department of Veterans Affairs is a state agency designed to empower veterans and their families to thrive. We do this by assisting them in navigating the system of federal, state, and local resources and benefits, providing long-term health care for eligible veterans in our Veterans’ Homes and partnering with other agencies and non-profits to help veterans address education, mental health, housing, employment, and other challenges. A career with the Illinois Department of Veterans’ Affairs provides a rewarding and challenging opportunity for individuals. Working together, we create partnerships and experiences that engage and inspire our fellow co-workers and the veterans and their family members that we serve every day.

Benefits Package

• Flexible work schedules in many program areas (where applicable)
• Health, life, vision, and dental insurance.
• 12 weeks paid maternity/paternity leave.
• Pension Plan
• Deferred Compensation, and other pre-tax benefit programs.
• Employees earn twelve (12) paid sick days annually.
• Ten to twenty-five (10-25) paid vacation days based on years of service.
• Employees earn three (3) paid personal days pro-rated based on start date.
• Thirteen-Fourteen (13-14) paid state holidays annually.