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About the Role

This role focuses on patient registration, insurance verification, and financial counseling to ensure accurate billing and patient understanding of financial responsibilities. It involves managing patient demographics, insurance information, and communicating financial outcomes.

Responsibilities

• Counsel new patients prior to their first appointment and secure referral and/or authorization.
• Register patient demographics and insurance information into the hospital billing system.
• Secure all required documentation prior to the patient's first appointment.
• Verify insurance benefits and pursue pre-certification for services.
• Communicate verification and pre-certification outcomes to clinical staff, administrative staff, and patients.
• Contact patients to discuss balances and payment responsibilities.
• Discuss hospital policies and procedures regarding insurance coverage and patient responsibility.
• Calculate patient deposits when applicable.
• Inform patients about their financial responsibilities, options, and actions to be taken.
• Identify problem accounts and refer them for resolution.
• Follow departmental procedures for updating patient and insurance information for accurate billing.
• Review and process insurance updates for established patients.
• Maintain up-to-date knowledge of all applicable billing requirements, procedures, and systems.
• Maintain a working knowledge of insurance carrier guidelines for pre-certification requests.
• Communicate any changes in insurance carrier requirements or reimbursement patterns to the management team.
• Participate in and promote the prevention, detection, and resolution of instances of non-compliance.
• Notify leadership of any possible non-compliance.
• Participate in and coordinate departmental projects such as process improvement, data analysis, and report preparation.
• Inquire and conduct investigations on specific accounts.
• Identify patterns and trends of both common and unique issues.

Requirements

• Must be able to counsel new patients prior to their first appointment and secure referral and/or authorization.
• Must be able to register patient demographics and insurance information into the hospital billing system.
• Must be able to secure all required documentation prior to the patient's first appointment.
• Must be responsible for verifying insurance benefits and pursuing pre-certification for services.
• Must be responsible for communicating outcomes to clinical and administrative staff and to the patients.
• Must be able to contact patient to discuss balances and payment responsibilities.
• Must be able to discuss hospital policies and procedures regarding insurance coverage and patient responsibility.
• Must be able to calculate patient’s deposit when applicable.
• Must be able to inform patients about their financial responsibilities, options and actions to be taken.
• Must be able to identify problem accounts and refer them for resolution.
• Must follow departmental procedures for updating patient and insurance information to ensure accurate billing.
• Must review and process, within established time frames, insurance updates for established patients.
• Must keep up-to-date on all applicable billing requirements, procedures, and systems.
• Must maintain a working knowledge of insurance carrier’s guidelines for pre-certification requests.
• Must communicate any changes in requirements and or noticeable changes in reimbursement patterns by insurance carriers for services to management team.
• Must participate in and promote the prevention, detection, and resolution of instances of non-compliance with departmental and institutional policies and procedures.
• Must notify leadership of any possible non-compliance.
• May be asked to participate/coordinate departmental projects such as process improvement, data analysis, report preparation.
• May be asked to inquire and conduct investigations on specific accounts.
• Must identify patterns and trends of both common and unique issues.

Skills

• Insurance verification
• Pre-authorization
• Financial counseling
• Patient registration
• Billing system operation
• Communication
• Problem-solving
• Data analysis
• Process improvement

Location

• MSK

Work Type

• Full-time

Experience Level

• Not specified

Education Level

• Not specified

Salary/Compensations

• $26.77 - $40.05

Benefits

• Not specified

About the Company

• The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life.
• MSK provides specialized care teams that offer personalized, compassionate, expert care to patients of all ages.
• MSK conducts innovative translational and clinical research driven by basic research from the Sloan Kettering Institute.
• MSK is dedicated to training the next generation of scientists and clinicians.

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.