Patient Billing and Funding Officer

4 weeks ago

Adelaide, South Australia St Andrew's Hospital Full time
Job Title: Patient Billing and Funding Officer

We are seeking a highly skilled and detail-oriented Patient Billing and Funding Officer to join our team at St Andrew's Hospital. As a key member of our finance department, you will be responsible for maintaining accurate and up-to-date patient finance practices, ensuring compliance with relevant healthcare regulations.

Key Responsibilities:
  • 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.
Requirements:
  • 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

We offer a supportive and inclusive work environment, with opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.

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