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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.
Job Responsibility:
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 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 claim 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
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
Requirements:
Numerical and analytical skills
Interest in change management and process improvement
Proficient in Microsoft Excel
Excellent communication skills both verbal & written
Flexible
Valid work permission for the Republic of Ireland (or eligible for a work permit in the case of critical skills)