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Insurance claims administrator

UPMC
Insurance claims administrator
Posted: 21h ago
Offer description

Insurance Claims Administrator - UPMC Sports Surgery Clinic DublinLocation: Swift Square One, Santry, Dublin 9Job type: 2-year Fixed-term Contract of EmploymentOverview 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 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. Equal Opportunity Statement and BenefitsUPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.At UPMC we provide a total rewards program that is not only market competitive, but fair and provides growth opportunities for all our colleagues. Performance and Recognition – Rewards for performance that supports the goals and mission of UPMC through our annual ACES programme.Development and Career Opportunities – Opportunities for each employee to reach their career goals through continued learning and/or advancement. About UPMC UPMC is a renowned multinational academic medical centre committed to delivering people-focused care that's close to home. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC shapes the future of health through clinical and technological innovation, research and education. UPMC expands its expertise globally, bringing world-class care across continents through its UPMC International division — an owned and operated network of hospitals and ambulatory care centres in Italy, Ireland and Croatia. UPMC International brings new access to the signature specialty services of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others to more people in more places around the world. In Ireland UPMC has provided high-quality healthcare in the South East since 2006. UPMC's operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane, and UPMC Aut Even Hospital in Kilkenny. Outpatient care is available at the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations in Waterford and Cork, UPMC The 4th Practice in Mallow, and across UPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, and Mayo. UPMC has also established a nationwide Concussion Network. UPMC's Global Technology Operation Centre is based in Kilkenny.

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