Third Party Liability Provider Recovery Supervisor (Exec II)
Springfield, IL, US, 62704
Job Requisition ID: 48977
Start date: 08/07/25
Closing Date: 08/21/2025
Agency: Department of Healthcare and Family Services
Class Title: EXECUTIVE II - 13852
BPIS: 07772
Skill Option: None
Bilingual Option: None
Salary: Anticipated starting salary $6589; Full salary range $6589-$9541
Job Type: Salaried
Category: Full Time
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code: RC062 Technical Employees, AFSCME
Merit Comp Code:
This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.
Why Work for Illinois?
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.
No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position overview:
The Department of Healthcare and Family Services (HFS), Division of Finance, Bureau of Collection Services is seeking to hire a highly motivated Third-Party Liability Provider Recovery Supervisor. As working supervisor, this position will assign and review assignments, provide guidance and training to assigned staff, approve time off according to operational needs, and prepare and present employee performance evaluations. The ideal candidate will possess excellent verbal and written communication skills, as communication with customers, health insurance companies, health providers, and internal entities is a vital part of this position. This position will require research to determine Medicaid and Medicare benefits, analyze federal and State regulations as they pertain to Medicare Part A/Involuntary Provider Reimbursement Process and Part B/SMIB Buy-In.
HFS values employees with different backgrounds, life experiences, and talents.
Employees receive a robust benefit package including:
- Monday-Friday work schedule
- Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
- Health, Life, Vision, and Dental Insurance
- Pension Plan
- Paid Parental Leave
- Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
- Employees earn (12) paid Sick Days annually.
- New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
- Employees earn (3) paid Personal Days annually.
- (13-14) paid holidays annually (based on start date)
If you are seeking a new opportunity, and this position appeals to you, please apply today!
At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion. We welcome and value employees with different backgrounds, life experiences, and talents. It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement. In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
- Under general direction, serves as the Third-Party Liability (TPL) Provider Recovery Supervisor for the Department of Healthcare and Family Services, Division of Finance, Bureau of Collection Services by planning, organizing, and evaluating Patient Credit Balance Identification and Collection Initiative to recover duplicate and/or overpayments from medical providers as allowed by the Medicare Recovery Reform Provisions
- Plans, organizes, and evaluates the Medicaid/Medicare coordination of benefits (COB) State and federally mandated regulations of Medicare Recovery Programs resulting in the TPL billings to providers and/or hospitals for the recovery of Medicaid payments
- Serves as working supervisor
- Organizes goals and objectives of the Provider Recovery Program
- Plans, directs, and evaluates the utilization of fiscal management, personnel management, program development, and public relations for the Provider Recovery Programs
- Confers with management regarding the section’s debit/credit process
- Performs other duties as required or assigned, which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
- Requires knowledge, skill and mental development equivalent to the completion of four (4) years of college, preferably with course work in business or public administration
- Requires two (2) years of responsible administrative experience in a public or business organization
Specialized Skills
- Two (2) years of professional experience with Medicare Coordination of Benefits State and Federal regulations, health insurance/Medicare recovery reform provisions, Supplemental Medical Insurance Benefits (Part B/SMIB) Buy-In, and Health Insurance Benefit (Part A/HIB) eligibility requirements
- Two (2) years professional experience with the Social Security Act/ Heath Insurance Portability and Accountability (HIPAA) Standards
- Two (2) years of professional experience interpreting Explanation of Benefits (EOB)/payment to research and challenge insurance company and provider refund requisitions due to overpayments
Preferred Qualifications
- Two (2) years of professional experience with Medicare Coordination of Benefits State and Federal regulations, health insurance/Medicare recovery reform provisions, Supplemental Medical Insurance Benefits (Part B/SMIB) Buy-In, and Health Insurance Benefit (Part A/HIB) eligibility requirements
- Two (2) years professional experience with the Social Security Act/ Heath Insurance Portability and Accountability (HIPAA) Standards
- Two (2) years of professional experience interpreting Explanation of Benefits (EOB)/payment to research and challenge insurance company and provider refund requisitions due to overpayments
- One (1) year of experience supervising staff with management and leadership skills
- Two (2) years of professional experience communicating with healthcare corporations or facilities, financial institutions, legal organizations, and other entities
- Two (2) years of experience managing case records
- Two (2) years of experience utilizing Microsoft Excel, Word, and Outlook
Conditions of Employment
- Requires completion of a background check and self-disclosure of criminal history
- Requires the ability to utilize and maintain state issued equipment such as a laptop
- The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours: Monday - Friday 8:30 a.m. - 5:00 p.m.
Work Location: 201 South Grand Ave E Springfield, IL 62704-3803
Email: HFS.DOFApps@illinois.gov
Posting Group: Leadership & Management99
This position DOES contain “Specialized Skills” (as that term is used in CBAs).
APPLICATION INSTRUCTIONS
Use the “Apply” button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in, you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.
Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.
If you have questions about how to apply, please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
- donotreply@SIL-P1.ns2cloud.com
- systems@SIL-P1.ns2cloud.com
Nearest Major Market: Springfield