We are seeking an experienced ClinicalAdministrator with SystmOne and NHS claims experience looking to progresstheircareer in General Practice. You willhave a deep understanding of NHS primary care, SystmOne searches, audits andclaims processes.
Main duties of the job
Apply your knowledge of NHS reimbursementmechanisms to ensure QOF, IIF, FP34, flu, covid and other claims achieve themaximum income by producing relevant audits and searches in SystmOne.
Ensure all work complies with NHS regulations, DataProtection regulations and best practices.
Work with GP Partners to provide any requiredaudits.
Produce chronic recall lists for team to contactand ensure up to date
Asthma / COPD search and produce list of patientsand recall
Ensure all patient recalls are one visit
Update the Palliative care register for goldstandard meetings
Retinal screening check new referrals / runsearches
Disease registers check for new patients who needadding to register
Smears run searches and update
Remain up to date with PCN work by attendingmeetings as required re chronic /frailty work etc.
Other work as require ensuring maximum income isachieved and is dependent upon NHS, ICB and GP Partners requirements.
About us
Mulberry Street Medical Practice is a PMS Training Practice working from Pudsey Health Centre in the centre of Pudsey, a busy market town situated in West Leeds between Leeds & Bradford.We have a patient list size of approximately 7600 with a stable population.
Part of West Leeds Primary Care Network (PCN) with attached staff (working in the practice on behalf of the practice and the PCN) we offer a range of services such as Physio, Occupational Therapist, Social Prescribing, Pharmacists, Paramedics etc.
The Practice consistently has a high Quality Achievement and was rated Good by the Care Quality Commission.
Clinical system: SystmOne
Job responsibilities
Part Time Clinical Administrator
Working Hours: Up to 10 hours - working day(s) to be agreed.
Reports to: Practice Manager & Partners
JOB SUMMARY
Support practice with administration, templates, read codes, searches, invites, claims, audits for various clinical schemes, QOF, prescribing schemes, quality improvement schemes, enhanced services, imms, smears.
JOB RESPONSIBILITIES
Support practice with clinical administration for various schemes such as QOF, IIF, prescribing schemes, quality improvement schemes, enhanced services, imms, smears etc.
Keep clinical staff, Partners and Practice Manager up to date with changes.
Work can include but not limited to:
* Ensure all claims are submitted in adequate time via CQRS, online etc.
Apply your knowledge of NHS reimbursement mechanisms to ensure QOF, IIF, FP34, flu, covid and other claims achieve the maximum income by producing relevant audits and searches in SystmOne.
Ensure all work complies with NHS regulations, Data Protection regulations and best practices.
Work with GP Partners to provide any required audits.
Update the Practice Manager of all claims / income.
DES/LES claims
Minor surgery claim prepare and submit
QOF run searches and ensure targets and maximum income achieved
Produce chronic recall lists for team to contact and ensure up to date
Asthma / COPD search and produce list of patients and recall
Hypertension search and recall
Ensure all patient recalls are one visit
Update the Palliative care register for gold standard meetings
Prior Notifications List (PNL) check and deal with returns
Childhood imms
Retinal screening check new referrals / run searches
Disease registers check for new patients who need adding to register
Smears run searches and update
Remain up to date with PCN work by attending meetings as required re chronic /frailty work etc
Other work as require ensuring maximum income is achieved and is dependent upon NHS, ICB and GP Partners requirements.
Patient services
Produce patient information leaflets and posters and run medicine awareness projects throughout the year.
Assist Partners where appropriate with monitoring and management of their prescribing budgets.
Prepare evidence-based resources and information to support the team and all other relevant health professionals in the implementation of rational cost-effective prescribing.
Help plan, develop and support the introduction of new working processes within the practice to optimise the quality of clinical services including prescribing.
Responsibility for administration
Assist with support and feedback to practice on prescribing schemes etc.
Communication
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members
Communicate effectively with patients and carers
Recognise peoples needs for alternative methods of communication and respond accordingly.
The post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:
Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality:
The post-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of quality and risk
Assess own performance and take accountability for own actions, either directly or under supervision
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Contribution to the Implementation of Services:
The post-holder will:
Apply practice policies, standards and guidance
* Discuss with other members of the team how the policies, standards and guidelines will affect own work
* Participate in audit where appropriate.
Person Specification
Experience
* Previous experience in an NHS GP practice
* Clinical knowledge of QOF, IIF and other NHSE and ICB targets.
* Strong hands-on working knowledge of SystmOne including search writing, read codes etc.
* Skills & Attributes
* Highly organised and comfortable working independently while maintaining strong team collaboration
* Self-motivated with ability to manage time effectively and reliably deliver on commitments
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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