Acct Assistant 4 – Coding & Appeal F/U (94902BR)

Yale University; New Haven (CT); Remote; USD 45,000 - 60,000; Full time

Job summary

Yale University is seeking an Account Assistant 4 primarily focused on handling insurance follow-ups, especially for coding denials related to Yale Medicine. This full-time position requires a candidate with significant experience in accounts receivable management and relevant knowledge in medical coding. The role includes essential duties like resolving denied claims and collaborating with healthcare staff, thus, it requires a detail-oriented professional who can thrive under pressure.

Qualifications

• Four years of related work experience (two in the same job family at the next lower level).
• Two years of experience with an Associate's degree or equivalent.

Responsibilities

• Manage accounts receivable and resolve problem accounts.
• Review carrier denials and communicate with insurance carriers.
• Perform clerical functions related to account activity.

Skills

Knowledge of CPT, ICD10, HCPCS

Proficiency in Microsoft Office

Data entry skills

Attention to detail

Ability to work independently

Strong communication skills

Education

High school diploma or Associate's degree

Tools

EPIC

Job description

Join to apply for the Acct Assistant 4 – Coding & Appeal F/U (94902BR) role at Yale University.

Work Week:
Standard (M-F, equal hours per day)

University Job Title:
Account Assistant 4

Bargaining Unit:
L34 - Local 34 (Yale Union Group)

Time Type:
Full time

Duration Type:
Regular

Compensation Grade:
Labor Grade D

Work Location:
Outside of campus, within Connecticut
221 Whitney Ave, New Haven, CT 06511

Work Model:
Remote

Position Focus:
Responsible for insurance follow-up on carrier denials, focusing on coding denials for Yale Medicine. Acts as a liaison for denied and no-response claims to maximize reimbursements. Tasks include reviewing carrier denials, appealing denials, communicating with insurance carriers, and collaborating with Yale Medicine staff to resolve claims issues.

Essential Duties:
Manage accounts receivable, oversee account files, resolve problem accounts, recommend system improvements, and perform clerical functions related to account activity.

Required Education and Experience:
Four years of related work experience (two in the same job family at the next lower level) with high school diploma, or two years of related experience with an Associate's degree, or equivalent.

Required Skills/Abilities:
Knowledge of CPT, ICD10, HCPCS, modifiers, NCCI edits, MUEs; proficiency in Microsoft Office; data entry skills; attention to detail; ability to work independently and in teams; strong communication skills; excellent attendance; high energy and motivation under pressure.

Preferred Skills:
Experience with EPIC, current CPC certification.

Other:
Background check required; no drug or health screening; Yale is a tobacco-free campus.

Note:
This description summarizes essential functions and may not include all duties. Specific tasks are assigned by hiring departments.