We have an exciting opportunity for a Billing Officer to join our finance team at Sancta Maria Hospital.
Working within our busy Finance department, The Hospital Billing Officer will ensure that invoices are produced in an accurate and timely manner in accordance with the policies and procedures of the Hospital. Other administrative duties will be required to collect payments from patients immediately after their consultation to ensure a comprehensive, and competent billing function for the Hospital.
This patient facing role will involve taking payments from patients and allocation of payments to patients accounts along with the development of appropriate systems and processes to ensure adequate financial controls are in place.
Main duties of the job
The role sits within the HMT Finance Team but will be based at Sancta Maria Hospital in Swansea.
The Billing Officer will ensure that invoices are produced in an accurate and timely manner in accordance with the policies and procedures of the Hospital. Other administrative duties will be required to collect payments from patients immediately after their consultation to ensure a comprehensive, and competent billing function for the Hospital.
Ensure effective communication between Consultants, internal departments and patients.
Job responsibilities
* Responsible for raising all outpatient related invoices for SMH, including the pass through ADM09 invoices, and allocating the invoices to payments on account. Ensuring that we hold a signed contract for each episode of care which results in hospital treatment. Relevant provider membership number and authorisation numbers to be collected via the contract and updated on CC8 wherever necessary.
* Collate inpatient charges and create inpatient invoices for self pay and insured patients, based on quotes generated via main hospital chargemaster or based on relevant insurance negotiated contracts.
* Monitor and manage outstanding patient balances by initiating collection activities on bad debts, including sending shortfall letters and payment reminders. Liaise with patients to
* Resolve billing discrepancies, negotiate payment arrangements, and escalat accounts for further recovery action when necessary.
* Assist in the preparation and review of outpatient service costings by collecting relevant data and verifying pricing structures. Cross-check supplier purchase invoices against corresponding patient invoices to ensure consistency and accuracy in pricing, identifying discrepancies and liaising with relevant departments to resolve any issues promptly.
* Deputise for colleagues during periods of absence or leave, ensuring continuity of billing operations, adherence to hospital policies, and maintenance of service quality. This includes temporarily managing assigned tasks such as booking form processing, patient account reconciliation, or financial reporting, as needed to support departmental efficiency.
* Taking payments from patients where required and allocating appropriately.
* To review clinic lists from the previous day, ensuring that appropriate consultation fees generated and allocated against receipts.
* Develop and maintain processes for periods outside of normal working hours, to ensure relevant information is collected to allow for posting of transaction on the following shift.
* Add outpatient & inpatient charges to Compucare, to ensure correct hospital and consultant fees are collected from the patient.
* Offer support where possible to the Customer service team taking payments over the phone.
* Timely issuing of invoices to insurance companies.
* To send out pre-pay invoices where appropriate for any patients not self funding or covered with one of our contractual providers.
* To capture all hospital income, ensuring that any equipment used and requested by a consultant has been costed and wherever necessary approved by the relevant insurance company.
* Adding consultant charges to compucare for any chargeable items such as room rent, and creating monthly invoices for those charges.
* Maintain relevant Purchaser and Provider information in CC8.
* To review the self pay debtors list to ensure that all charges are appropriately allocated.
* To process the OPD booking forms and cost procedures appropriately as per the hospital Charge Master.
* To report any instances where there is no parity between consultant charges and hospital coding.
* To ensure that the hospital CCSD code recording is consistent with the coding provided by the consultant and that all CCSD codes are provided by the clinician in charge of treatment.
* To utilise external websites, egs Healthcode, AXA patient portal & Bupa providers online to ensure that current authorisation numbers are being utilised with current episodes of treatment.
Person Specification
* Excellent Customer Service skills and experience
* Practical knowledge of administration processes
* Demonstrate strong organisational skills and abilities
* Ability to work on own initiative and also as part of a team
* High standard of accuracy
* Understand the importance of confidentiality
* Experience in Microsoft Word and Excel
* Data Inputting
* Experience of working in a fast-paced environment
* Experience of working in Healthcare
Benefits
* Private Medical Insurance
* Employer pension contribution
* Long service awards
* Cycle to work scheme
* Continuous learning
* Flexible working options
* 27 Days Annual Leave (Plus Bank holidays)
* Enhanced Maternity Pay
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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