The post holder is responsible for the routine billing of the Financial Administration Services for International & Private Patients, (Inpatient and Outpatient). The Billing Team Leader will ensure that all hospital chargeable private patient activity is billed accurately, on time and in line with the targets set by the Private Patient Directorate.
The post-holder will seek to improve, develop, and adapt processes to achieve seamless allocation and ensure processes run smoothly, ensuring that patient activity is accurately invoiced in line with the tariffs applicable to each of the private care sponsor contractual agreements.
Main duties of the job
* To be a senior point of contact for financial services billing requests.
* To ensure consultants and their secretaries are aware of their responsibilities in relation to submitting the billing charges on time to I& PC.
* To gather data from WIP and QlikView reporting tools, managing the billing activity and prioritise invoicing ensuring WIP is kept at an acceptable value, whilst managing the team's daily workloads.
* To identify efficiency improvements across all aspects of the finance pathway and develop and implement strategies to introduce them, involving clinical and overseas agencies.
* To identify areas of financial irregularity and develop procedures to prevent recurrence.
* To liaise with the International Credit Controllers to resolve any queries related to patient accounting and assist with any related matters.
* To ensure all charges are captured and invoiced on the days when bills become due.
* To assist the Financial Services Manager in achieving daily/weekly targets set by management (i.e., ensure the billing lag remains at 10 days).
* To ensure that all other chargeable items which are not identified on the system business reports or interface are billed.
* To confirm and ensure that all external recharge information is extracted from source and invoiced in a timely manner.
* To finalise all private care self-funding accounts to support service improvement and Pre-Authorisation team communication with the patient, ensuring all chargeable items have been billed and are accounted.
About us
GOSH is committed to recruiting the best person for the job, based solely on their ability and individual merit as measured against the criteria for the role through a process that is fair, open, consistent and free from bias and discrimination. We are committed to being a diverse and inclusive employer and foster a culture where all staff are valued, respected and acknowledged. All applicants will receive consideration for employment without regard to race, colour, national origin, religion, sexual orientation, gender, gender identity, age, disability status or length of time spent unemployed. We particularly welcome applications from BAME communities, people with disabilities and/or long-term health conditions and LGBT+ community members.
Job description
Job responsibilities
General Duties
* Maintain effective working relationships with other staff members, both within I& PC, other departments, and with external agencies. This will include working with embassies and private insurers.
* To co-ordinate the investigation of complaints in relating to the finance team, ensuring the necessary changes are made to system working practices to prevent reoccurrence.
* To act as part of the team of administrative and clerical staff within the division, providing cover to other members of the team when necessary and as directed by the Head of Finance Operations.
* To respect the confidentiality of patient data and not to disclose data to any unauthorized persons.
* To undertake other appropriate duties as directed by the Head of Finance Operations.
* To cover the Financial Services Manager role for periods of absence.
* To attend unit meeting as managers delegate when required.
* To assist other members of the team where necessary.
* To be a mentor and take responsibility for any Apprentice or Trainee staff.
* To undertake any other reasonable tasks required of the post holder by the Financial Services Manager.
* To deal with telephone enquiries in a professional, efficient, and polite manner, taking messages where required.
* To liaise and investigate with all relevant departments to ensure that the Billing team is notified of all chargeable services, so all revenue is attained, reducing revenue leakage.
* To input all relevant patient information received onto the Compucare notepad system to facilitate continuity for the Division and patient.
Person Specification
GOSH Culture and Values
Essential
* Our Always values: Always welcoming, Always helpful, Always expert, Always one team.
Academic/Professional qualification/Training
Essential
* Educated to University degree, NVQ Level 4 or relevant equivalent experience.
* Private Care financial - experience of private care funding streams, private medical insurers, and NHS eligibility / charging structures.
* Minimum 1 - 2 years supervisory or management experience.
* Proficient in Microsoft Office, including Outlook, Word, and Excel.
Experience/Knowledge
Essential
* Proven record of customer-focussed change and improvement. Managing a small team with a busy workload, they will be energetic, set and maintain high standards with an eye for detail and go above and beyond to ensure that our patients are well supported and that the risk of debt to I& PC is minimised.
* Confident communicator, able to deal with people at all levels in a polite, empathetic, and professional manner and have a good understanding of the Trust's Private Care offer.
* Knowledge of administrative processes.
* Knowledge of working with healthcare professionals, and an understanding of their requirements.
* Knowledge of working with Embassies, Insurance companies and other such organisations in a clinical setting.
Skills/Abilities
Essential
* Good interpersonal skills with ability to liaise effectively with patients / representatives and clinical and nonclinical teams.
* Ability to work under pressure and demonstrate initiative.
* Ability to make decisions, organise and prioritise own workload.
* Evidence of commitment to customer care initiatives.
* High level of attention to detail and awareness of quality issues.
* Strong analytical skills.
* Ability to communicate sensitively and courteously with patients and their families.
* Ability to manage customer issues / disputes in a polite and professional manner.
* Computer literacy including MS Excel.
* Commitment to personal and professional development.
* Understanding of Private Care Billing and Credit Control processes.
GOSH Culture and Values
Essential
* Experience of working as part of a diverse team.
* Experience of contributing to an inclusive workplace culture.
Employer details
Employer name
Great Ormond Street Hospital for Children NHS Foundation Trust
Address
Great Ormond Street Hospital
Great Ormond Street
London
WC1N 3JH #J-18808-Ljbffr