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As a key member of the Finance Team, the Pre-Submissions Team Lead will work with the wider Finance Operations function to ensure the timely and accurate collation of both financial and clinical documentation to support with the claims process. The position will require frequent interaction with patient data, consultants, medical secretaries, clinical staff, 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:
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
Provide leadership, guidance and direction to the Team
Promote an environment that is conducive to the development of best practice, enhances staff retention and promotes good industrial relations
Maintain a high level of staff morale, promoting good communication, team spirit and job satisfaction among members of the multidisciplinary team
When appropriate engage in the recruitment and selection of staff for the service
Ensure that all new staff in the Department receive an adequate orientation and induction programme, have a clear understanding of their duties, responsibilities and standards of performance at all times
Assist in providing a roster that ensures resources are deployed effectively and efficiently to cope with fluctuations in workload, case complexity, adequate skills mix, planned activity or staff absence difficulties
Comply with all HR system and policy requirements including recording of relevant data
Contribute to the formal mechanism for communication among the team
Update and manage the HR TMS system
Monitor and deal with sick leave/ return to work interviews/ liaise with Occupational Health department.
Requirements:
5 years working in a healthcare setting
Experience of managing people
Working in a team environment
Experience in dealing with patients/customers
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 deadlines
Delivery of projects as required
It is essential that you have valid work permission for the Republic of Ireland to take up employment for this position.