About Medserv
Medserv, an Irish company, has quickly established itself as the market leader in providing Medical billing and Practice management services throughout Ireland and the UK. Our clients include individual and group consultants, GP practices as well as private clinics and hospitals. Inspired by our values of Always innovating, Being Trustworthy, Collaborating positively and Delivering results, Medserv strives to ensure on-going client satisfaction by combining our innovative technology solutions with highly skilled teams.
This position is an initial 12 month FTC opportunity and is being recruited for in either Haywards Heath, UK or Dublin, Ireland.
Role Overview
The Fee Governance Lead is responsible for the accuracy, integrity and timeliness of all fees and pricing held within the Medserv systems. They act as the business owner for the end-to-end fee management lifecycle, ensuring fee schedules from clients, insurers and automated scrapers are validated, updated, and maintained. The role underpins Medserv’s billing accuracy, revenue assurance, and operational efficiency across the UK and Ireland.
Duties and Responsibilities
Own and maintain all fees and pricing rules (including clinical indicators (IRL) and diagnostic codes (UK) held within ProcCode database and related systems.
Ensure all Insurer and client fee schedules are accurate, up-to-date, and applied correctly across UK/IRL.
Validate, approve, and publish fee updates into production systems.
Ensure all fees are consistent, compliant with rules, and aligned with contractual agreements.
Manage audit trails for fee changes and version control of schedules.
Run periodic reconciliation checks to ensure no drift between system fee values and authoritative sources.
Monitor the performance of web-scraping bots used to ingest insurer fee schedules.
Flag and follow up on scraper failures, changes to insurer websites, or mismatches in extracted data.
Validate scraper outputs before writing to the database (human-in-the-loop control).
Act as primary liaison with insurers regarding fee schedule updates and clarification queries.
Implement mitigation strategies, including controls for changes, QA steps, and escalation paths.
Track KPIs such as data accuracy, update SLAs, fee-related error rates, and part-paid investigations.
Identify inefficiencies in fee management processes and propose improvements.
Provide training and support to teams on fee processes and procedures.
Suggest improvements to workflow, logic, and user experience.
Define repeatable processes, SLAs and controls for how fees are managed.
Work with IT to resolve bugs in the fee logic, scraper logic, front-end UI, and ProcCodes behaviour.
Help shape the roadmap for future fee automation and tooling.
Requirements and Skills
Extensive experience of a medical billing system
Strong knowledge of client and insurer fees and pricing schedules
Ability to communicate and collaborate with multiple teams effectively
An analytical approach
Advanced Excel skills.
Package and Benefits
Salary €41,000 - €43,000
This role is based in our Dundrum office full time with hybrid working available post probation
Private Medical
Life Assurance
Gym membership
Maternity and Paternity leave
Holiday Plus Scheme to purchase additional leave
Dedicated EAP
Pension contribution
Professional development opportunities
Regular sports and social events
Healthy food with comfortable on-site recreational facilities
Access to tax incentive schemes i.e. commuter schemes and bike to work
Maternity and Paternity leave (T&C's apply)
Workcation options
Additional Info
This is an initial 12 month FTC.
This is a full-time position with the option for Hybrid working.
All offers of employment are subject to a valid work permit.
Role commences immediately.
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