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.
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 patients 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.
High School Diploma/GED required; Bachelors Degree preferred
Basic knowledge of Microsoft Excel and Word software
Excellent written, oral and organizational skills
Must be detail-oriented, highly organized, and able to perform with a high level of accuracy
Internal Number: 2020-43600
About Memorial Sloan-Kettering Cancer Center
As one of the world's premier cancer centers, Memorial Sloan-Kettering Cancer Center is committed to exceptional patient care, leading-edge research, and superb educational programs. The close collaboration between our physicians and scientists is one of our unique strengths, enabling us to provide patients with the best care available today as we work to discover more effective strategies to prevent, control, and ultimately cure cancer in the future. Our education programs train future physicians and scientists, and the knowledge and experience they gain at Memorial Sloan-Kettering has an impact on cancer treatment and the biomedical research agenda around the world.
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