Accounts Receivable Officer

The purpose of this post is to act as a key link between families and CHI’s patient administration services, providing clear information on the use and benefits of private health insurance for hospital admissions. The role involves working closely with health insurance providers to verify cover, collate and validate claims for submission, and follow up on outstanding queries to ensure timely responses and efficient claims processing.

The successful candidate may be required to work across CHI sites and services in line with organisational requirements and the development of the new children’s hospital and associated services.

2. Principal Duties and Responsibilities

Professional Duties and Responsibilities:

• The post holder will be expected to live CHI values and be child-centered, compassionate, progressive and will act with respect, excellence and integrity.

• Review Patient claim packs for accuracy and completeness and obtain any missing information required 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 submission 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 returns that come back as quality errors.

• Assisting with the processing of patient invoicing, credit and debit notes.

• Follow up on outstanding invoices and queries.

• Deal with routine calls from parents, consultants and staff, resolving daily or escalating to your Team Lead if further action is required. A professional and courteous approach is always expected, 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.

• Assist with month end procedures and other Ad-Hoc queries.

The above is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to them from time to time and to contribute to the development of the post while in office.

3. Eligibility criteria, qualifications and experience

Essential Criteria:

• Leaving Cert/QQI Level 5 or equivalent qualification.

• 2 years’ experience in accounts receivables.

• Good working experience of Microsoft 365.

• Excellent communication skills, verbal and written.

Desirable Criteria:

• IPMS and SAP experience.

• Private health insurance claims processing.

• Experience working in similar healthcare environment.

Core Behaviours and our Chosen Culture in CHI

Core Behaviours of our Chosen Culture