Specialist I, Insurance Receivable

Specialist I, Insurance Receivable

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 pursue our mission at MSK and around the globe.

At MSK, the Specialist I, Insurance Receivable supports Revenue Cycle Management by resolving insurance balances and securing accurate, timely reimbursement. The role works across hospital and professional billing, partnering with internal teams and insurance carriers to move claims from submission through resolution while maintaining compliant, accurate account documentation in Epic.

Role Overview:

• Manage insurance receivables for inpatient and outpatient accounts across both hospital and professional billing.
• Review, analyze, and work assigned claims through final resolution to support accurate and timely reimbursement.
• Submit claims and conduct timely follow-up with commercial, government, and other third-party insurance carriers.
• Interpret electronic and paper remittance advice to identify denials, underpayments, nonpayments, and reimbursement discrepancies.
• Investigate and resolve claim edits, payer rejections, documentation requests, payment delays, and outstanding balances.
• Prepare corrected claims, appeals, payment transfers, insurance refunds, recoding, and contractual adjustments as appropriate.
• Contact insurance carriers through payer websites, telephone, email, and written correspondence to obtain claim status and resolve account issues.
• Update insurance information, verify eligibility, resubmit claims, and document all account activity accurately in Epic.
• Identify payer trends, escalate recurring reimbursement issues, and collaborate with internal teams to support compliant billing practices.

Key Qualifications:

• Relevant experience in healthcare revenue cycle, insurance follow-up, claims management, reimbursement, or a comparable office setting preferred.
• Knowledge of both hospital and professional billing processes.
• Experience working with commercial, government, and third-party insurance carriers.
• Knowledge of Epic, including claim review, account documentation, work queues, insurance updates, and follow-up activities.

Core Skills:

• Ability to work claims from initial submission through final resolution and accurately interpret remittance advice.
• Strong analytical and problem-solving skills for resolving denials, payment discrepancies, underpayments, and payer-related issues.
• Ability to manage high-volume work queues, prioritize aging accounts, and meet productivity and follow-up expectations.
• Clear written and verbal communication skills for working with insurance carriers, internal departments, and leadership.
• Adaptability and comfort working in a changing environment with evolving systems, payer requirements, workflows, and departmental priorities.

Additional Information:

• Schedule: 9:00 AM - 5:00 PM with option to change start to 7:00 AM or end at 6:00 PM after training period and able to perform independently
• Location: Hybrid, onsite at least once per month at 633 Third Avenue, New York, NY
• Reports To: Supervisor, Revenue Cycle
• Pay Range: $24.05 - $36.21
• FSLA Status: Non-Exempt

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.

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