Patient Billing

2 months ago

Greater Adelaide SA, Australia St Andrew’s Hospital Full time

**Do you have strong analytical skills, high attention to detail? Are you passionate about contributing to the healthcare sector? We want to hear from you.**
- **Full Time permanent role Monday - Friday.**:

- **Hours vary from 7.30am - 6.00pm as per requirement of department**:

- **Join a team that fosters compassion, values dedication and offers support**:

- **Beautiful location with onsite secure car parking**

**Discover the St Andrew's Difference**

**Why St Andrew's?**
Discover a fulfilling career at St Andrew's leading standalone private hospital renowned for exceptional patient care. As a close-knit community, we value connections, accessible leadership, and active volunteerism. Our core values - caring for others, working together, and delivering excellence - define the St Andrew's way.

**Exciting Opportunities Await**

Join us as a Patient Billing and Funding Officer and step into vital roles that revolves around maintaining precise and current patient finance practices within our healthcare organisation. Your responsibilities will include meticulous entry of medical data, inpatient billing procedures, patient eligibility and claiming processes, ensuring not only data integrity but also compliance with relevant healthcare regulations.

**Other key responsibilities include**:

- Process claims accurately and efficiently in accordance with established procedures and guidelines.
- Accurately receipting monies and proficient management of debtors.
- Review patient admissions, and billing information to determine claim eligibility.
- Verify insurance coverage and benefits for patients, including policy details, deductibles, and co-payments.
- Communicate with insurance companies to resolve claim denials, discrepancies, and appeals.
- Accurately input patient procedural information such as MBS item numbers, procedural times and medical devices into the electronic patient management and billing system.
- Ensure timely and error-free data entry to maintain the integrity of hospital claims.
- Demonstrate a solid understanding of medical terminology MBS Schedule, Prescribed List of Medical Devices and Human Tissue Products and Private Health Insurance contracts.
- Strictly adhere to privacy and confidentiality regulations when handling patient information
- Identify and rectify errors or discrepancies, ensuring accuracy in all our records.
- Follow up on outstanding invoices for medical devices and consumables used from consignment stock.
- Verify information by checking medical records when necessary, ensuring its accuracy.
- Communicate with insurance companies to resolve eligibility issues.
- Provide estimates to healthcare providers and patients as requested
- Assist patients in informing and understanding their financial responsibilities.

**Join Us If You Have**:

- Excellent analytical skills with attention to detail and accuracy
- Exceptional communication and interpersonal skills to interact effectively with patients, healthcare providers, and insurance companies
- Ability to handle multiple tasks, prioritise workload, and meet deadlines in a fast-paced environment
- Strong problem-solving and decision-making abilities
- Proficiency in using electronic patient management systems, billing software, and Microsoft Office
- Ability to work efficiently autonomously and as a team
- Able to communicate with all levels of staff
- Maintain confidentiality
- Demonstrated initiative and flexibility

**Desirable Requirements**:

- Exposure to health fund contracts / funding models
- Understanding of Private Health Insurance (or willingness to learn)
- Understanding of Private Hospital patient accounting concepts (or willingness to learn)
- Understanding of hospital coding systems (or willingness to learn)
- Knowledge of Informed Financial Consent

**Why St Andrew's is the Place to Be**:
We prioritise the wellbeing of our staff and provide supportive programs, including an on-site gym, personalised support for mental health challenges and regular wellbeing tips. We have a strong focus on the health and safety of our workforce through dedicated WHS specialists, programs, and local health and safety representatives.

**Ready to Join Us?**

If you are ready to be part of something extraordinary, where your passion for patient care is celebrated, click the 'Apply' button, submit your CV & Cover Letter and take the next step in your career with St Andrew's.

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