Invoice Administrator
Title:
Invoice AdministratorType:
Full Time PermanentStart Date:
ASAPSkills:
Person Specification
- Strong customer focus with excellent verbal and written communication skills.
- A positive, helpful attitude, willing to work co-operatively with other members of the team.
- PC skills with good knowledge of Microsoft packages and the ability to effectively manage computer technology, typing and word processing.
- The ability to demonstrate customer led thinking.
- Good commercial awareness with the ability to make decisions with the “bigger picture” in mind.
- Ability to identify when it becomes appropriate to escalate a problem.
- Strong diplomatic communicator at all levels; verbally and written to build and maintain internal and external relationships.
- Able to demonstrate critical independent thinking and the ability to multi-task in situations where in the outcome is time sensitive.
- A high degree of accuracy and attention to detail.
- Effective time management to be able to multi-task, prioritise to meet varying tasks and deadlines.
- Highly adaptable, with a flexible approach to work,willing to do what is required to ensure that the team achieves its objectives while remaining focused on quality.
- A pro-active approach to work with analytical problem solving skills.
- The ability to plan and organise own workload, and work well under pressure.
- The ability to work well both independently and as part of a team.
Description:
An award winning Medical Assistance Services Organisation with a well earned reputation for superior service to both clients and staff is seeking a Invoice Administrator.
Our Client provides their members with a professional and timely claims handling service, in accordance with policy terms and conditions ensuring that all decisions and outcomes are reached through accurate and fair assessment of claims. The role of the Invoice Administrator is to accurately and efficiently assess and process healthcare services invoices associated with those claims.
Key accountabilities:
- Thorough and careful assessment of incoming invoices from consultants, therapists, hospitals and other providers of healthcare services, ensuring that all charges are in line with provider contract terms and where no contract is in place that charges are customary and reasonable
- Process invoices received in-line with agreed service standards, member benefit limits and policy terms and conditions
- Deal with provider queries or requests in relation to clinical treatment or pre-authorisation requests
- Have the confidence and knowledge to make decisions on whether invoices can be settled
- Take accountability for investigating difficult claims through to settlement
- Maintain and document accurate records within the Case Management System including: all invoice or claim related payments, and all communication with members and providers
- Escalate any complaints or call backs in a timely manner to the Medical Claims Settlement Team Leader
- Communicate directly with members, clients, providers and other members of Our Clients Group of Companies as required
- To continually self-develop in understanding the Private Healthcare industry in areas such as CCSD codes and to maintain an up to date knowledge of medical and industry terminology
- Undertake other business activities and tasks as required ensuring ongoing operational effectiveness, efficiency and positive contribution to Our Client
Additional Requirements
- Ensuring that excess, co-payment and benefit limits are applied correctly
- Supporting the claims administration when required, opening letters, scanning, allocating and verifying
- Speaking to providers to obtain treatment plans or medical reports when required
- Informing members and providers of decisions involving the settlement or not of invoices
- Liaising with other departments as necessary
- Self generated inbound/outbound telephone work
- Writing bespoke letters and emails specific to the claim using a professional manner at all times
- Answering emails and phone calls from members and providers on the status of invoices/receipts received
- Processing claim forms received from members
- Contributing to a process improvement ethos within the team
- Other ad hoc duties in support of the Medical Claims Settlement Team
