Accounts admin - consultant paperwork, queries & op claims

Accounts Admin - Consultant Paperwork, Queries & OP Claims
Blackrock Health Blackrock Clinic
Location: On site / Dublin, Irelandjob type: Permanent / Full-timeSector and subsector: Medical & Healthcare | Allied Health ProfessionalsSalary: Negotiable salary
Job Title: Accounts Admin - Consultant Paperwork, Queries & OP Claims
Location: Blackrock Clinic, Rock Road, Blackrock, A94 E4X7
Department: Finance
Job Type: Permanent
Hours: 37 hours per week (Full-Time)
Blackrock Clinic is the leading and longest established private hospital and clinic in Ireland. Since it opened in the mid-1980s, the clinic has consistently built an unparalleled reputation in new high-tech surgical procedures, medical treatments, and ground-breaking diagnostics.
Blackrock Clinic is now part of Blackrock Health private hospital group along with the Hermitage Clinic, Galway Clinic, and Limerick Clinic, some of the most advanced hospitals in Irish private healthcare. As a JCI accredited hospital, Blackrock Clinic is a progressive and pioneering hospital in which care for the patient is central to everything we do.
Role Purpose:

Maintain Mediclaim to ensure consultant name data is cleansed, corrected if necessary and kept accurate on a daily basis and that claims in each consultant list are in line with their speciality, so we are chasing paperwork from the correct person
Action queries on a daily basis and update Mediclaim to reflect the resolution for example if a consultant has transferred care or if we have sufficient paperwork already in plac
Produce reports from Mediclaim in excel for billing agents and self-billing consultants to chase outstanding paperwork due for claim submission
Manage the accounts shared mailbox, action queries and requests and scan up paperwork emailed in from self-billing consultants
Ensure all Patient claims are collated correctly and efficiently to maintain regular and even submission volumes and targets
Maintain a high standard of quality checking thus minimising the number of pended, returned or rejected claims
Deal with Patients, Consultant and Staff queries in an efficient, professional and courteous manner at all times.
Being personally accountable for your own actions at all times

Skills / Experience:

Proficient in Microsoft Excel

Key Responsibilities:

Review newly dropped claims in Mediclaim to ensure the consultant names are accurate, the patient claim form has been collected at registration, and the hospital invoice is within SLA
Manage the missing side 1 worklist in Mediclaim
Produce reports in excel of outstanding paperwork from Mediclaim, control checking against our financial reports to ensure the volumes match, analysing accuracy and aging and applying different methods of paperwork retrieval best suited to the consultant at hand
Locate charts and retrieve pertinent forms to use in the chasing of paperwork
Review Patient claim packs for accuracy and completeness and obtain any missing information required in order to submit the claim for assessment to the relevant Insurer
Identification of claims with errors that cannot be submitted to the Insurers and being pro-active in trying to resolve this in a timely manner
Daily scanning of paperwork received outside of Mediclaim into the system
Assessment and submission of outpatient scans on a daily basis
Adhere to and a fully understand of the Insurer contracts with which in the claims checking process
Weekly reconciliation of claims submitted to each Insurer and filing of claim submissions
Deal with routine calls from patients, consultants and staff. Queries must be resolved daily or escalated to the Patient Accounts Manager if further action is required. A professional and courteous approach is expected at all times, for both internal and external customers
Supporting the standardisation and improvement of processes, procedures, controls and systems
Utilisation of Excel and Word Processing skills to maintain up-to-date spreadsheets and statistics
Carry out other such duties as required by the Patient Accounts Manager

Communication Skills:

Communicate appropriately with colleagues and other members of the health care teams to ensure a quality service is provided to all while constantly striving for excellence in patient/customer care.
Communicate in a manner that avoids antagonism, reduces conflict and prevents undue anxiety.
Recognise limitations and seek assistance where necessary.
Attend and contribute to appropriate meetings.
Accept constructive advice when appropriate.
Report all incidents immediately, which may adversely affect a patient, colleague or the Blackrock Clinic.
Support the philosophy, objectives and goals of Blackrock Clinic.
Observe the appropriate lines of authority.
Maintain strict confidentiality regarding all patients and the activities of Blackrock Clinic.
Demonstrate flexibility by assisting in all areas of the hospital/clinic as required.
The Ward/Unit Manager depending on the availability of locum cover will arrange annual leave; this usually means the holiday periods i.e. Easter, summer and Christmas.
Participate in developing and providing quality care within Blackrock Clinic.
Assist in orientation of new personnel.
Continue to develop personal knowledge and skills and seeks outside educational opportunities.
Present a professional appearance and conform to the dress, hygiene and infection control policies of the Clinic.
Flexible attitude to changing work practises.

Why work at the Blackrock Clinic:
At the Blackrock Clinic, we are passionate about our people and believe in their development and growth. As a member of the team, you can benefit from:

Pension
Sports and Social club
Employee Assistance Programme
Discounted onsite pharmacy

Please Note:
Job descriptions are a reflection of the present service requirements and may be subject to review and amendments to meet the changing needs of the service. Please note that we reserve the right to close this vacancy early if sufficient applications are received.
Blackrock Clinic is an Equal Opportunities employer, and we are committed to creating an environment that promotes equality and dignity at work.
Blackrock Clinic is committed to providing reasonable accommodation when needed. Please advise if you have particular requirements, so that we can look into arranging reasonable adjustments to the recruitment process. You can contact us at HR@blackrockhealth.com
It is essential that you have valid work permission for the Republic of Ireland to take up employment for this position, or in the case of critical skills, you must be eligible for a work permit.
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