Job Title: Claims AdministratorDepartment: FinanceJob Type: PermanentHours: 39 per weekJob PurposeAs a key member of the Finance Team, the Claims Administrator will work with the wider FinanceOperations function to ensure the timely and accurate collation of both financial and clinicaldocumentation to support with the claims process. The position will require frequent interaction withpatient data, consultants, medical secretaries, clinical staff, and other key stakeholders. Theposition requires a participatory approach to the development of services and structures, embracingcontinuous quality improvement and the management of changes necessary to achieveorganisational objectivesJob Background/ContextThe Blackrock Health Hermitage Clinic is a private hospital providing a full range of medical and surgical care across a broad spectrum of specialities. The Finance function has responsibility for the provision of financial management and reporting across all clinical and non-clinical areas of the hospital and is important in making a significant contribution, developing and maintaining best practice in management and financial accounting.Key Responsibilities· Sourcing and collating the required clinical documentation for our end-to-end claims process to support with accurate claims submissions and follow-up queries to ensure payment is received for services provided by the hospital· Working with the Billing, Claims, and Accounts Receivables Teams to ensure all documentation is delivered in a timely manner· Highlight and correct potential gaps in the existing workflows to minimise the lead time between the point of discharge and receipt of payment· Highlight/identify any potential gaps in pricing with regards to contracts· Responsible for developing key relationships with relevant staff e.g. Medical Records, Ward Clerks to ensure all relevant billing paperwork is provided in a timely manner to assist with order-to-cash processes· Responsible for the achieving financial KPI’s and ensuring the needs of the Department are met· Other relevant tasks as identified/ allocated by the Head of Finance Operations and assigned individuals· Promote a patient centred culture of openness and responsiveness to positive and constructive patient feedback and ensuring patient dignity, respect and choice is maintained in their care.Essential Criteria· 2 years working in a healthcare setting· Working in a team environment· Experience in dealing with patients/customersSkills/ Competencies· Self -starter· High attention to detail· Ability to analyse high volumes of information· MS Excel and MS Word· Relationship building with internal and external personnel· Team player with the ability to work on own initiative· Able to prioritise and multi-task· Process Based Approach· Ability to work to deadlinesPlease 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 Health Hermitage Clinic is an Equal Opportunities employer, and we are committed to creating an environment that promotes equality and dignity at work.Blackrock Health Hermitage 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 hr.Hermitage@blackrockhealth.comIt is essential that you have valid work permission for the Republic of Ireland to take up employment for this position.
