Location: Springfield,IL, USA
Agency: Department of Healthcare and Family Services
Position ID: DF42183
BPIS: 09894
Class Title: EXECUTIVE I - 13851
Skill Option: None
Bilingual Option: None
Starting Date: 10/21/24
Closing Date: 11/04/2024
Salary: Anticipated starting salary $5,703 - $8,170/month / Anticipated non-state $5,703/month
Job Type: Salaried
Category: Full Time
County: Sangamon
Number of Vacancies: 1
Plan/BU: RC062
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.
Posting Identification Number DF42183
Job Description:
The Department of Healthcare and Family Services, Division of Finance, Bureau of Collection Services is seeking to hire a highly qualified candidate with medical/case management skills to work in the Technical Recovery Unit. This position will conduct research utilizing the internet and various reports to establish personal injury and/or Workers' Compensation medical liens/claims to determine monies owed to the Department. This position further serves as a Department liaison for internal and external entities interpreting the Department's statutory personal injury/Workers' Compensation authority and related internal policies.
The ideal candidate will demonstrate excellent verbal and written communication skills, as the candidate will communicate with attorneys, customers, and health insurance carriers. This position will require experience with analyzing medical claims and negotiating case settlements with external entities. The preferred candidate will exhibit excellent follow-up skills to plan, organize, and prioritize assignments to ensure such are completed accurately and timely to maximize recovery efforts.
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 Maternity/Paternity 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.
Job Description
* Serves as a Personal Injury/Workers' Compensation Caseworker for the Department of Healthcare and Family Services, Bureau of Collection Services, Technical Recovery Unit
* Consults with attorneys to determine the status of personal injury/Workers' Compensation claims and to determine amount of settlement
* Initiates and monitors the referrals of all case documentation to the Assistant Attorney General for adjudication in personal injury/Workers' Compensation lien settlements
* Reviews documentation and corresponds with attorneys, insurance companies, and Department of Human Services (DHS) local offices regarding recoveries of cases
* Confers with management and recommends the resolution of personal injury/Workers' Compensation claims
* Interprets the Department's statutory personal injury/Workers' Compensation authority and related internal policies for state representatives, attorneys, insurance companies/ representatives, DHS local office staff, and program participants
* Reviews, analyzes, and recommends disposition of requests for waiver or release of the Department's personal injury lien/Workers' Compensation claim
* 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 coursework in business or public administration
* Requires one (1) year of responsible administrative experience in a public or business organization or completion of an agency approved professional management training program
Preferred Qualifications
* One (1) year of experience researching and analyzing medical/case records related to personal injury or Workers' Compensation cases
* One (1) year of experience negotiating case settlements with insurance carriers and attorneys
* One (1) year of experience utilizing HFS Medical Systems such as: Medical Management Information Systems (MMIS) mainframe screens, MMIS New Claims Inquiry Database (PAMCINQO), MMIS Claims History Inquiry Database (PAMPCHIO), MMIS NIPS Claims History Inquiry (PAMPHSTO), Integrated Eligibility Systems (IES), or Medical Expenditure Reporting and Analysis (MERA) in the Enterprise Data Warehouse (EDW)
* One (1) year of experience in medical case management
* One (1) year experience utilizing spreadsheets such as Microsoft Excel or Google Sheets and word processing applications such as Microsoft Word or Google Docs
Conditions of Employment
* Requires the ability to pass a background check
* 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 8:30am - 5:00pm
Work Location: 201 South Grand Ave E Springfield, IL 62704-3803
Agency Contact: ...@illinois.gov
Posting Group: Leadership & Management
This position DOES NOT 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:
* ...@SIL-P1.ns2cloud.com
* ...@SIL-P1.ns2cloud.com
Nearest Major Market: Springfield