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As a key member of the financial team, the Credit Controller will work with the Patient Accounts Team to ensure all patient finance queries are dealt with in an efficient and effective manner. Responsible for collection of all outstanding invoices, whether from Private Health Insurers, Self-Payers, other hospitals, etc. The CC will develop, implement and maintain an effective and professional credit control system for the hospital. Additionally, insurance verification and following up on finance related queries. The position will require frequent interaction with patients, Consultants/ Consultants secretaries, out-patient departments and other key stakeholders. The position requires a participatory approach to the development of services and structures, embracing continuous quality improvement and the management of changes necessary to achieve organisational objectives.
Job Responsibility:
Reviewing the Debtors Ledger, liaising with Health Insurance Companies, liaising with other Patient Accounts staff and evaluating administration of the Hermitage Clinic’s claims process
to effect the timely receipt of monies due to the hospital
Engaging with patient queries through email/ phone queries
Calling patients in relation to outstanding monies prior to admission (including rejected claims, bad debts, insurance excesses owed)
Responsible for the achieving Accounts Receivable KPI’s and ensuring the needs of the Department are met
Liaising directly with patients with regards finance queries
Verifying all patients’ insurance prior to the patient being admitted to the Hospital
Highlighting billing anomalies/ contract changes
Dealing with insurance queries/ self-pay queries from patients/ Consultants
Assisting Management in pricing queries
Highlight/identify any potential gaps in pricing with regards to contracts
Assisting in the pre- approval process for high cost drugs/ other relevant procedures
In collaboration with billing team, understand insurance/ self-pay contracts and billing rules and to be aware of each set of rules specific to the insurers and how this affects invoicing
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 in the billing process
Other relevant tasks as identified/ allocated by the Billing and Submissions Manager and AR Manager
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
Requirements:
2 years working in a finance department
Previous hospital experience desired although not essential
Working in a team environment
Experience in dealing with patients/ customers
Previous experience of Credit Control desirable
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