Accounts Administrator

ROLE PURPOSE

• To maintain the Insurer ledgers for current and aged claims thus helping to reduce debt by maximising claim submissions
• To ensure all Patient claims are collated correctly and efficiently and submitted to the relevant Insurers in a timely manner and in accordance with their individual contract
• To maintain a high standard of quality checking thus minimising the number of pended, returned or rejected claims
• To deal with Patients, Consultant and Staff queries in an efficient, professional and courteous manner at all time.
• Being personally accountable for your own actions at all times.

KEY RESPONSIBILITIES

1. Key Areas of Responsibility

• 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 this in a timely manner
• Daily scanning and submissions of Patient claims to relevant Insurers in accordance with their relevant cut-off dates whilst ensuring swift turnarounds along with a high standard of quality
• 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
• Adhere to and a full understand of the Insurer contracts with which in the claims checking process
• Weekly reconciliation of claims submitted to each Insurer and filing of claim submissions
• Assist with the daily cash collection from outpatients and posting insurer remits as required
• Deal with routine calls from patients, consultants and staff. Queries must be resolved daily, or escalated to the Patient Accounts Manager if further action is required. A professional and courteous approach is expected at all times, for both internal and external customers
• 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.
• Carry out other such duties as required by the Patient Accounts Manager

2. 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.

3. 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 by assisting in all areas of the hospital/clinic as required.
• The Ward/Unit Manager depending on the availability of locum cover will arrange annual leave; this usually means the holiday periods i.e. Easter, summer and Christmas.
• 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.
• Flexible attitude to changing work practises.

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 café

• Sports and Social club

• Employee Assistance Programme

• Discounted onsite pharmacy

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