Specialist I, Patient Financial Services

Memorial Sloan Kettering Cancer Center•New York, NY

2d•Hybrid

About The Position

At Memorial Sloan Kettering Cancer Center, our mission is ending cancer for life. As a Specialist I in Patient Financial Services, you will help patients maintain access to care by coordinating insurance verification, authorizations, financial guidance, and accurate information while supporting optimal reimbursement and compassionate service across MSK’s care teams. Role Overview Collaborate with patients, clinical teams, administrative staff, and insurance carriers to support continued access to care and appropriate reimbursement for services. Counsel patients before their first appointment and obtain required referrals, authorizations, and supporting documentation. Obtain pre-certification from insurance carriers in alignment with each plan’s requirements. Maintain current knowledge of insurance guidelines and communicate updates to leadership. Identify and report trends or changes in reimbursement patterns. Communicate authorization outcomes to clinical and administrative staff. Explain insurance coverage and requirements, payment responsibilities, and available financial options to patients. Provide timely updates to clinical teams throughout the authorization process. Educate clinical staff on patients’ insurance coverage and financial responsibilities. Work autonomously while maintaining strong partnership with internal stakeholders.

Requirements

Strong written and verbal communication skills.
Ability to work independently and make sound decisions regarding financial clearance.
Experience in patient service or customer service, with the ability to communicate financial concerns and coverage limitations with empathy and professionalism.
Proven ability to manage pre-certification or insurance-related administrative tasks.
Familiarity with medical insurance carriers and coverage requirements.
Growth-minded, actively seeking opportunities for continuous development.
Effective communicator, comfortable speaking with people at all levels of the organization including patients, physicians, care team members, and insurance carriers.
Results-oriented, adaptable, and energized by challenges.
Self-motivated and capable of autonomous work.

Responsibilities

Collaborate with patients, clinical teams, administrative staff, and insurance carriers to support continued access to care and appropriate reimbursement for services.
Counsel patients before their first appointment and obtain required referrals, authorizations, and supporting documentation.
Obtain pre-certification from insurance carriers in alignment with each plan’s requirements.
Maintain current knowledge of insurance guidelines and communicate updates to leadership.
Identify and report trends or changes in reimbursement patterns.
Communicate authorization outcomes to clinical and administrative staff.
Explain insurance coverage and requirements, payment responsibilities, and available financial options to patients.
Provide timely updates to clinical teams throughout the authorization process.
Educate clinical staff on patients’ insurance coverage and financial responsibilities.
Work autonomously while maintaining strong partnership with internal stakeholders.