Insurance Follow-Up Specialist
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary Range: $31.05 Job Requisition ID: 131414WD Overview
Under the direction and supervision of the Supervisor and Team Leader, employee will be responsible for insurance follow-up on carrier denials and no insurance response claims for Yale Medicine. Employee will also function as a liaison in the day to day follow-up of denied and no response claims to obtain maximum reimbursement for services rendered by Yale Medicine. Required Skills and Abilities
1. Excellent interpersonal skills. Ability to deal with people in a tactful and courteous manner. 2. Excellent communication skills, both oral and written. 3. Ability to work independently, organize and prioritize work assigned in order to meet goals and deadlines. 4. Strong ability to process high volume workload accurately and professionally. 5. Demonstrated record of excellent attendance and punctuality. Proper demeanor and attire. Preferred Skills and Abilities
Working knowledge of EPIC and EPIC WQs. PC data entry experience. Knowledge and working experience with ICD9 and CPT4 coding systems. Working knowledge of Microsoft Office especially EXCEL/WORD. Principal Responsibilities
1. Serves as a principal source of information on rules and procedures governing University accounts receivable. Oversees and instructs support staff. 2. Oversees maintenance of account files, ensuring accuracy and completeness. Reviews payment histories. 3. Resolves problem and delinquent accounts with supervisor and collection agency. Assists with final review and disposition of problem accounts. 4. Recommends and implements changes to systems and operating procedures. Composes form letters and correspondence used in accounts receivable activities. 5. Researches individual accounts. Summarizes findings in reports. Completes and processes forms. Performs clerical functions incidental to account activity. Required Education and Experience: Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Background Check Requirements
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements
Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. University policy is committed to affirmative action under law in employment of women, minority group members, individuals with disabilities, and protected veterans. Additionally, in accordance with Yale's Policy Against Discrimination and Harassment, and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note: Yale University is a tobacco-free campus.
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary Range: $31.05 Job Requisition ID: 131414WD Overview
Under the direction and supervision of the Supervisor and Team Leader, employee will be responsible for insurance follow-up on carrier denials and no insurance response claims for Yale Medicine. Employee will also function as a liaison in the day to day follow-up of denied and no response claims to obtain maximum reimbursement for services rendered by Yale Medicine. Required Skills and Abilities
1. Excellent interpersonal skills. Ability to deal with people in a tactful and courteous manner. 2. Excellent communication skills, both oral and written. 3. Ability to work independently, organize and prioritize work assigned in order to meet goals and deadlines. 4. Strong ability to process high volume workload accurately and professionally. 5. Demonstrated record of excellent attendance and punctuality. Proper demeanor and attire. Preferred Skills and Abilities
Working knowledge of EPIC and EPIC WQs. PC data entry experience. Knowledge and working experience with ICD9 and CPT4 coding systems. Working knowledge of Microsoft Office especially EXCEL/WORD. Principal Responsibilities
1. Serves as a principal source of information on rules and procedures governing University accounts receivable. Oversees and instructs support staff. 2. Oversees maintenance of account files, ensuring accuracy and completeness. Reviews payment histories. 3. Resolves problem and delinquent accounts with supervisor and collection agency. Assists with final review and disposition of problem accounts. 4. Recommends and implements changes to systems and operating procedures. Composes form letters and correspondence used in accounts receivable activities. 5. Researches individual accounts. Summarizes findings in reports. Completes and processes forms. Performs clerical functions incidental to account activity. Required Education and Experience: Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Background Check Requirements
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements
Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. University policy is committed to affirmative action under law in employment of women, minority group members, individuals with disabilities, and protected veterans. Additionally, in accordance with Yale's Policy Against Discrimination and Harassment, and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note: Yale University is a tobacco-free campus.