Access to Care Claims Submission Specialist - UPMC Cleaboy
Location: Cleaboy Business Office -Unit 4
Job type: Permanent
Overview of role:
UPMC are recruiting a Claims Submission Specialist within the Access to Care team. This role will be based in the UPMC Cleaboy Business Office, Waterford. The Access to Care Claims Submission Specialist will be part of an integrated team across our UPMC healthcare services. The Access to Care team is responsible for the efficient processing of administrative support services throughout our facilities. The successful candidate will be expected to operate with agility and diligence to ensure the success of the Access to Care team in the furtherance of our mission of bringing life changing medicine to all the patients and communities for whom we are privileged to serve. We are looking for a detail-oriented candidate with a minimum of 1 year administrative experience. The candidate will be a team-player who is adaptable, responsive and learning-minded in a fast paced environment. They will be organised in their approach and competent in the use of technology to facilitate a collaborative
Primary Duties and Responsibilities:
The Claims Submission Specialist duties include but are not limited to:
- Action all private and public claims and process efficiently.
- Management of unbilled claims and working with our business partners to ensure accurate and timely submission of claims.
- Resolution of queries with both internal and external business partners
- Support the claims submission team with on-going projects
- Managing patient enquiries relating to claims submission
- Develop an understanding of private health insurance and insurance verification
- Ensure effective communication to all our stakeholders including patients and staff
- Provide wide-ranging administrative support to enable the smooth running of our services
Qualifications & Experience:
- 12 months experience in a similar role.
- Business/Secretarial Qualification.
- Excellent working knowledge of Microsoft Office.
- Experience of healthcare systems including iPims desirable.
Equal Opportunity Statement and Benefits
UPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
At UPMC we provide a total rewards program that is not only market competitive, but fair and provides growth opportunities for all our colleagues.
Compensation – Competitive pay for the work employees do – base pay, performance related pay and premium pay where applicable.
Benefits – Fully paid maternity and paternity leave for new parents. Competitive Pension Plan, company funded Death in Service Benefit x 3 times. Critical Illness cover for all employees up to the age of 66.
Performance and Recognition – Rewards for performance that supports the goals and mission of UPMC through our annual ACES programme.
Work-Life Balance – Enhanced annual leave up to a maximum of 27 days. Flexible working opportunities to support you to work around external family commitments.
Development and Career Opportunities – Opportunities for each employee to reach their career goals through continued learning and/or advancement.
About UPMC
UPMC is a renowned multinational academic medical centre committed to delivering people-focused care that’s close to home. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC shapes the future of health through clinical and technological innovation, research and education. UPMC expands its expertise globally, bringing world-class care across continents through its UPMC International division — an owned and operated network of hospitals and ambulatory care centres in Italy, Ireland and Croatia. UPMC International brings new access to the signature specialty services of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others to more people in more places around the world.
In Ireland UPMC has provided high-quality healthcare in the South East since 2006. UPMC’s operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane, and UPMC Aut Even Hospital in Kilkenny. Outpatient care is available at the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations in Waterford and Cork, UPMC The 4th Practice in Mallow, and across UPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, and Mayo. UPMC has also established a nationwide Concussion Network. UPMC's Global Technology Operation Centre is based in Kilkenny.