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About the Role

Patient Billing Specialist provides service to patients via incoming phone inquiries, portal inquiries, email, mail and referrals from other MSK departments. The specialist responds completely to the patient’s requests and questions, making every effort to ensure full resolution during one encounter. Specialist ensures they are managing their time throughout the day to be available to answer patient inquiries and prioritizes patient calls to ensure excellent service is being provided. In an effort to fully resolve accounts, specialist often has to call insurance carriers to obtain information, submit appeals or documentation. When calling the patient to ask about outstanding hospital and physician balances, Specialist uses sensitivity to ensure it is an appropriate time for discussion. The Specialist identifies patients who are experiencing financial difficulties and reviews all options including referral to the Financial Assistance Program. While reviewing various financial options with patients and their family, the specialist has the autonomy to decide if a portion of the balance can be written-off. Patient Billing Specialist provides charge/cost estimates to both patients and clinical areas. Specialist obtains the clinical codes for outpatient services, surgeries, radiation, chemotherapy, etc and calculates the total cost of care for the patient to receive services at MSK. They then contact the patient to communicate the total charge amount and work to obtain payment. Specialists educate patients on the various insurance options that par with MSK, and explain the limitations, responsibilities and what they can expect with each plan. PBS is often a source of knowledge for all things insurance related not only to our patient population but to other departments within MSK. Complies with all federal and state privacy and billing standards and notifies departmental or Center management of non-compliance.

Responsibilities

Identifies and takes the follow-up actions necessary to resolve any outstanding issues raised during the patient interaction.
Completes daily and weekly reports within the required time frame.
Uses reports to identify trends to focus on process improvement as well as to be proactive in resolving patient’s accounts.
Identifies patterns and trends of both common and unique inquiries through errors, specific questions and complaints.
Addresses these trends and possible solutions during weekly group meetings with teammates, group leaders, supervisors and manager.
Leads and/or participates in task forces and projects both within the department and outside the department.
Gathers input from staff, patients and other MSK departments.
Continuously works to improve processes to enhance the patient’s experience while looking for ways to increase the revenue MSK can bring in.

Requirements

Complies with all federal and state privacy and billing standards.
Notifies departmental or Center management of non-compliance.

Skills

Patient Billing
Insurance knowledge
Financial Assistance Programs
Process Improvement
Communication

Work Type

Non-Exempt

Salary/Compensations

$29.03 - $44.92

About the Company

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life.
Our specialized care teams provide personalized, compassionate, expert care to patients of all ages.
Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it.
MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe.

Equal Opportunity

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment.
All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.
Please tell us if you require a reasonable accommodation to apply for a job or to perform your job.
Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.