Overview
Job Title: Accounts Receivable Administrator Claims
Department: Finance
Reports to: Claims Team Lead / Accounts Receivable Manager
Job Type: Permanent
Hours: 37 hours per week
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: This role will be responsible for maintaining the unsubmitted ledger for both current and aged claims thus helping to reduce debt by maximising claims submissions and cash collection. The role will also include the following:
Responsibilities
* Deliver timely task achievement
* Ensure all claims are collated correctly, efficiently and submitted in a timely manner, in accordance with the relevant contract or commercial agreement
* Maintain a high standard of quality checking to minimise the occurrence of pended, returned, rejected or part paid claims
* Maintain a minimum level of queried claims on their desks
* Ensure that all patients/staff and any other individuals contacting and attending the Blackrock Clinic are dealt with in an efficient, effective and timely manner at all times and be responsible for their own actions.
Skills / Experience
* Highly numerical with strong analytical skills
* Interest in change management and process improvement
* Proficient in Microsoft Excel
* Excellent communication skills both verbal & written
* Flexible
* Positive attitude
Key Responsibilities
* 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 them in a timely manner
* Daily scanning and submissions of claims to relevant third party in accordance with their relevant cut-off dates whilst ensuring swift turnarounds along with a high standard of quality
* Assisting in the management of consultant files ensuring paperwork is chased and received in a timely manner, requesting and copying charts where necessary
* Resolution and resubmission of any VHI returns that come back as quality errors
* Acquire a full understand of the insurer contracts and the rules of billing and submissions
* Weekly reconciliation of claims submitted to each insurer between diary entry, OA and the claims summary sheet
* Assisting with filing, cash collection and other ad-hoc duties required
* Deal with routine calls from patients, consultants and staff, resolving daily or escalating to your Team Lead if further action is required but taking responsibility for ensuring the notes in OA are kept up to date and assisting where possible to close out the query. A professional and courteous approach is expected at all times, for both internal and external stakeholders
* 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
* Contributing to the delivery of key department KPI’s and targets
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.
* Accept constructive advice when appropriate.
* Report all incidents immediately, which may adversely affect a patient, colleague or the Blackrock Clinic.
* Attend and contribute to appropriate meetings
General Expectations
* 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 to changing work practises and by assisting in all areas of the hospital/clinic as required
* 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
* Is always punctual on duty
Benefits
* Competitive salary
* Onsite parking
* Pension
* Discounted café
* Sports and Social club
* Employee Assistance Programme
* Discounted onsite pharmacy
Important Notices
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. 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
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.
Skills: Communication Skills, Time Management, Attention to detail
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