Audit & Control Specialist

USA-NY-New York
3 weeks ago
Requisition ID
2017-16959
Category
Administrative/Clerical

Company Overview

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 27th 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 2016, as well as Glassdoor’s annual Employees’ Choice Awards 2017. We’re treating cancer, one patient at a time. Join us and make a difference every day.

Job Description

As an integral member of the Physician Billing Department, the Audit & Control Specialist is responsible for performing physician billing support functions. This includes problem solving account discrepancies, interpreting data, discerning trends, and determining the appropriate course of action.

 

You Will:

 

  • 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.
  • Can determine why an account has a credit with little or no supervision.
  • 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.
  • Analyzes the patient’s account for posting errors before considering a refund.
  • Process all voided refunds in accordance with departmental policies and procedures. 
  • Executes charge corrections on an ad hoc basis.
  • Assist with various special projects and audits as they arise.

You Have:

  • Basic knowledge of Microsoft Excel and Word software
  • Excellent written, oral and organizational skills
  • Excellent Attendance and Punctuality
  • Must be thorough, detail-oriented, highly organized and able to perform with a high level of accuracy

Closing

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.

 

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