Hourly range $31.05; not specified; not specified ...
Fully remote
Knowledge of cpt icd10 hcpc modifiers
Experience with epic work queues
Ability to resolve worker's compensation claims
Yale University is seeking an Account Assistant focused on specialty rejections follow-up, primarily dealing with insurance claims and denials for Yale Medicine. The role involves analyzing claims, communicating with insurance carriers, and ensuring maximum reimbursement while working in a fully remote environment
Job Summary
The role involves following up on denied insurance claims for Yale Health Plan, Workers Compensation, and MVA payers to ensure maximum reimbursement.
Employees must possess strong knowledge of medical coding standards including CPT, ICD10, and NCCI edits to validate charges and resolve claim edits.
The position requires direct communication with third-party carriers, patients, and clinical departments to investigate payment delays and resolve outstanding accounts.
Matching Summary
Match Score: 85
Yale University is seeking an Account Assistant focused on specialty rejections follow-up, primarily dealing with insurance claims and denials for Yale Medicine. The role involves analyzing claims, communicating with insurance carriers, and ensuring maximum reimbursement while working in a fully remote environment.
Salary
Hourly Range $31.05; Not specified; Not specified
Skills & Requirements
Must-have
Knowledge of CPT ICD10 HCPC modifiers
Experience with EPIC work queues
Ability to resolve worker's compensation claims
Strong verbal and written communication skills
High-volume account management capability
Nice-to-have
Experience working with attorneys on MVA claims
Ability to recommend system procedure changes
Collaborative team player in high-pressure environment
Key Requirements
Four years of related work experience
Two years in same job family at next lower level
High school education or Associate's degree
Working knowledge of Microsoft Office Excel and Word