Insurance Receivable Specialist I

Job details

About Us:

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 pursueour missionat MSK and around the globe.

Exciting Opportunity at MSK: Insurance Receivable Specialist I

At Memorial Sloan Kettering (MSK), theInsurance ReceivableSpecialist Iplays a critical role in ensuringaccuratereimbursement and financial integrity. This position supports the Revenue CycleManagement - Patient Accounts departmentby resolving insurance balances, analyzing claims, and partnering with payors to drivetimelypayment outcomes within a high-performing oncology care environment.

Role Overview:

• RepresentRevenue Cycle - Patient Accounts in resolving insurance balances for inpatient and outpatient accounts

• Communicate directly with insurance carriers via portals, phone, email, and correspondence to drive claim resolution

• Investigate and resolve claim denials, underpayments, and delayed reimbursements

• Submit appeals and supporting documentation to ensure proper reimbursement outcomes

• Interpret and apply internal billing terminology, workflows, and escalation protocols

• Collaborate with internal teams to coordinate account resolution and share updates

• Maintainaccurateandtimelydocumentation of all account activity within Epic and other systems

• Update insurance and demographic information, ensuring claims are corrected and resubmitted when needed

• Identifypayer trends or recurring issues and escalate appropriately to leadership

Key Qualifications:

• 2-4 years of relevant experience in healthcare revenue cycle environmentrequired

• Experience working with insurance claims, billing, or accounts receivable processes

• Knowledge ofEHRmedical claims modules likeEpic, including Resolute Hospital Billing, Professional Billing, or Tapestry preferred

• Familiarity with oncology-specific coding (ICD-10, CPT, HCPCS/J-codes for chemotherapy and supportive drug services) preferred

• CRCR (Certified Revenue Cycle Representative), CPAM, or CHFP certification preferred

Core Skills:

• High attention to detail and accuracy in documentation and claims resolution

• Effective communication skills for interacting with insurance carriers and internal stakeholders

• Problem-solving mindset with persistence in resolving complex insurance issues

• Organizational skills to manage high-volume workloads and meet productivity expectations

Additional Information:

• Schedule: 8:00 AM - 4:00 PM EST, Monday - Friday withoptionto change to 9:00 - 5:00PM ESTaftertraining period and able toperform independently

• Location: Remote with flexibility to come on-site once per yearin the summerfor annual meeting,ideal candidate will be within NYC metro area in case needs change to a rotating schedule to be on-site on some days

• Reporting to: Supervisor, Revenue Cycle - Patient Accounts

Helpful Links :

• Compensation Philosophy

• Benefits

Pay Range: $24.05 - $36.21 FSLA Status: Non-Exempt

Closing :

At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills.

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.