Account Assistant 4, Pre-Estimations

08-Mar-2024

Clinical Affairs - YMA Pre-Estimation

86883BR

University Job Title

Account Assistant 4

Bargaining Unit

L34 - Local 34 (Yale Union Group)

Compensation Grade

Labor Grade D

Wage Ranges

Click here to see our Wage Ranges

Searchable Job Family

Administration, Clinical

Total # of hours to be worked:

37.5

Work Week

Standard (M-F equal number of hours per day)

Work Location

Medical School Campus

Worksite Address

221 Whitney Ave
New Haven, CT 06511

Position Focus:

Under the general direction of the Yale Medicine Administration Prior Authorization/Patient-Estimation Supervisor, the Account Assistant 4 is primarily responsible to determine the patient responsibility and provide an estimate of the costs of services prior to the services being rendered. The Account Assistant 4 is also responsible for collecting on those estimates prior to the service being rendered.

Essential Duties

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.

Required Skill/Ability 1:

Superior oral and written communication skills. Independent decision-making.  Working knowledge of ICD-10 and CPT codes. EPIC experience. Understanding of Credit Balance process in EPIC. Working knowledge of Microsoft Office.

Required Skill/Ability 2:

Knowledge and thorough understanding of insurance benefits and ability to interpret and discuss deductibles and co-insurances with patients. Excellent customer service skills and work well as a team player.

Required Skill/Ability 3:

Excellent attendance and reliability. Highly energetic and motivated with the ability to work under pressure and handle and maintain a high volume of accounts.

Required Skill/Ability 4:

Ability to maintain a high degree of tact, diplomacy and understanding in dealing with patients and maintain a high level of confidentiality in discussing personal and financial matters.

Required Skill/Ability 5:

Excellent organizational skills. Working knowledge of medical insurance authorizations, referrals, and estimate preparation. 

Preferred Education, Experience and Skills:

At least two years medical billing and customer service experience. Experience in Reproductive Medicine Service Preferred. Spanish speaking preferred.

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.

COVID-19 Vaccine Requirement

The University maintains policies pertaining to COVID-19. All faculty, staff, students, and trainees are required to comply with these policies, which may be found here:
https://covid19.yale.edu/health-guidelines

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 particular position. Employees will be assigned specific job-related duties through their hiring departments.

EEO Statement:

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