Insurance Claims Administrator - Sports Surgery Clinic, Santry Location: Swift Square One Job type: Fixed Term Overview of role: The Finance Department are currently recruiting for an Insurance Claims Administrator to join the claims team.
This is a two year fixed term contract, on-site - 37.5 hours per week.
Primary Duties and Responsibilities: Processing, collating and submission of an average of 800 Sports Medicine claim forms per month, ensuring all sections are filled out adequately and signed by the patient.
Processing, collating and submission of an average of 800 Radiology claim forms per month, ensuring all sections are filled out adequately and signed by the patient.
Matching and cross checking that all details on the hospital invoice and professional invoices match.
Matching and cross checking that all medical details on side 1 and side 2 of the claim form match.
Timely submission of bi-monthly and monthly completed claims.
Liaising with various departments to solve queries.
Communicating with patients to verify relevant information to solve queries and get missing information for submissions.
Reviewing claim submissions and verifying the information.
Follow up on outstanding claim forms - missing and unsigned claim forms.
Ensuring claims are billed correctly and rebilling when necessary.
Liaising with relevant departments/billings companies regarding outstanding paperwork.
Compiling monthly status reports with a view to have all Injection invoices with an up to date status.
Approving Professional Fee Invoices for VHI Surgical Pathway.
Provide cover on the credit control team as requested.
Qualifications & Experience: At least 3 years Finance experience.
Relevant healthcare experience will be considered.
Computer literate and proficient in MS Office and Excel.
Working knowledge of a Finance system.
High attention to detail is essential.
Excellent critical thinking and decision-making skills.
Ability to work under pressure to strict submission deadlines.
Ability to work on own or as part of a team.
EqualOpportunity Statement and Benefits UPMC is an equal opportunity celebrate diversity and are committed to creating an inclusive environmentfor all employees.
At UPMC we provide a total rewards programthat is not only market competitive, but fair and provides growth opportunitiesfor all our colleagues.
Compensation - Competitive pay for the work employees do - base pay, performance related payand premium pay where applicable.
Benefits -Fully paid maternity and paternity leave for new parents.
Competitive PensionPlan.
Performance and Recognition - Rewards for performance that supports the goals and mission ofUPMC through our annual ACES programme.
Work-Life Balance - Flexibleworking opportunities to support you to work around external familycommitments.
Developmentand Career Opportunities - Opportunities for each employee to reachtheir career goals through continued learning and/or advancement.
AboutUPMC UPMC is a renowned multinational academic medicalcentre committed to delivering people-focused care that's close to in Pittsburgh and affiliated with the University of PittsburghSchools of the Health Sciences, UPMC shapes the future of health throughclinical and technological innovation, research and expands its expertise globally, bringing world-class care acrosscontinents through its UPMC International division - an owned and operatednetwork of hospitals and ambulatory care centres in Italy, Ireland andCroatia.
UPMC International brings new access to the signature specialtyservices of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others tomore people in more places around the world.
In Ireland UPMC has provided high-quality healthcare in the South East since****.
UPMC's operations in Ireland now include UPMC Whitfield Hospital inWaterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital inClane, and UPMC Aut Even Hospital in Kilkenny.
Outpatient care is available atthe UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapylocations in Waterford and Cork, UPMC The 4th Practice in Mallow, and acrossUPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, andMayo.
UPMC has also established a nationwide Concussion Network.
UPMC'sGlobal Technology Operation Centre is based in Kilkenny.
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