Acct Assistant 4 - Specialty Rejections F/u

weke.yale.edu

Off Campus within Connecticut, US
Hourly range: $31.83 ph
On-site
Insurance follow-up
Denial resolution
Charge review
Yale University is seeking an Account Assistant to manage insurance follow-ups, denials, and claims within its health services. The ideal candidate will have experience with medical billing, insurance processes, and relevant software, along with strong communication skills

Job Summary

  • Under the direction and supervision of the Associate Director and Team Lead/Manager, employee will be responsible for insurance follow-up on denials from Yale Health Plan, Workers Compensation and MVA payers as well as charge review, credit and claim edit work queues.
  • Review carrier denials or letters to analyze next steps needed to ensure payment, review payment history, and work and resolve delinquent accounts.
  • Strong knowledge of insurance carrier and specialty related issues, and the ability to review and understand medical records and coding.

Matching Summary

Match Score: 85

Yale University is seeking an Account Assistant to manage insurance follow-ups, denials, and claims within its health services. The ideal candidate will have experience with medical billing, insurance processes, and relevant software, along with strong communication skills.

Salary

Hourly Range: $31.83

Skills & Requirements

Must-have

  • Insurance follow-up
  • Denial resolution
  • Charge review
  • Claim edits
  • Medical documentation review
  • CPT, ICD10, HCPC, modifiers knowledge

Nice-to-have

  • Workers compensation claims experience
  • Motor vehicle accident claims experience
  • Attorney correspondence experience
  • Collaborative work with YM staff

Key Requirements

  • Four years of related work experience, two in the same job family at the next lower level
  • Associate's degree and two years of related work experience
  • Equivalent combination of experience and education
  • Working experience of EPIC and EPIC work queues

Work Rights

Not specified

Tailored Resume

Cover Letter