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As an integral member of the Physician Billing Department, the Audit & Control Specialist will perform a variety of physician billing support functions. This includes solving account discrepancies, interpreting data, discerning trends, and determining the appropriate course of action.
Have the ability to organize, analyze, and effectively resolve accounts within established timeframes
Possess excellent verbal and written communication skills
Excellent time management and punctuality
Flexible to work independently or in a collaborative environment
Resolve credits balances in a timely and accurate manner.
Ensure all charge corrections are processed and any appropriate resulting credit balances are resolved expeditiously.
Investigate and resolve any patient account discrepancies as needed in accordance with departmental adjustments policies and procedures.
Ensures all patient accounts are noted with the activity related to the credit/refund.
Contact Insurance Carriers to determine the necessary information for Payment Posting Specialists, and recommend posting to unmatched and miscellaneous accounts for follow up after month end closing.
Process refunds and work offsets from all insurance carriers.
Monitors recoupment activities by payers for appropriateness.
Responds to and resolved refund requests from payers.
High School Diploma/GED required; Bachelors Degree preferred
Must be highly organized, and able to perform with a high standard of accuracy
Internal Number: 2021-47548
About Memorial Sloan Kettering Cancer Center
At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes. For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2018, as well as one of Glassdoor’s Employees’ Choice Best Place to Work for 2018. We’re treating cancer, one patient at a time. Join us and make a difference every day.