Job Title: Accounts Receivable Administrator in Claims
Department: Finance
Job Type: Specified Purpose
Hours: 37 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
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
Their purpose will be to:
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.
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
SKILLS AND EXPERIENCE
Numerical and analytical skills
Interest in change management and process improvement
Proficient in Microsoft Excel
Excellent communication skills both verbal & written
Flexible
Positive attitude
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.
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
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:
Competitive salary
Onsite parking
Pension
Annual bonus*
Discounted cafe
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 -
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.