Account Assistant 4, Pre-Authorizations

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Overview
Functions as a liaison in the day-to-day administration and validation of services requiring pre-certification, authorization and/or referrals of specialty services in order to obtain maximum reimbursement for services rendered by Yale Medicine. Responsibilities include communicating with insurance companies to obtain information relevant to authorizations/referrals as well as obtaining office notes, surgical records and diagnostics to forward to insurance companies to obtain applicable authorizations and/or referrals. Assist departments with questions and issues relating to the authorizations/referrals. This is a centralized service within Yale Medicine. This opportunity is currently remote (work from home) within CT.

Required Skills and Abilities
1. Working knowledge of medical insurance authorizations and referrals. Demonstrated ability using computerized database systems including Microsoft Office Suite (Word and Excel). Ability to learn and adapt to new software applications.
2. Proven ability in providing superior customer service, including the ability to handle heavy telephone communication with patients, providers, insurance carriers, etc. in a professional, courteous and tactful manner.
3. Ability to handle challenging/complicated situations professionally. Some familiarity with medical coding.
4. Strong written and verbal communication skills. Team-oriented, flexible and ability to work with changing priorities and work flows. Ability to multi-task, problem-solve and prioritize. Good attention to detail.
5. Demonstrated record of excellent attendance, punctuality and time management. Professional demeanor and attire.

Preferred Skills and Abilities
Knowledge of CPT and ICD 10 codes. Ability to speak Spanish preferred. Proven experience with EPIC.

Principal Responsibilities

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.

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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 hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement.

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.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy 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.