Patient Billing Specialist
4 weeks ago
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 play a vital role in maintaining accurate and up-to-date patient finance practices.
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.
- 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
- 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 with a passion for patient care, we encourage you to apply for this exciting opportunity.
St Andrew's Hospital is an equal opportunity employer and welcomes applications from people of all cultural backgrounds and ethnicities, including Aboriginal and Torres Strait Islander people.
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