Financial Responsible for supervisory oversight and management of all facets of the billing department including invoice processi.....
Financial Responsible for supervisory oversight and management of all facets of the billing department including invoice processing, revenue monitoring and quality improvement initiatives. Manage the detailed daily activities of the inpatient and outpatient invoicing including supervising and executing daily invoicing processes. Complete appropriate sample audits of billing to margin analysis to ensure profitability of services provided Monitor and report on the performance of the Division against the targets on a monthly basis, ensuring that transactions are properly allocated, and plans remain reflective of the operational function of the business. Work closely with our outsourced Billing Partner to ensure that Private Cares billing functions are efficient, accurate and effective. Support billing audits and examinations. Create and monitor unbilled monthly reports and resolve billing delays. Use commercial analysis to advise the Management team on the strategic direction of Private Care. Proactively monitor the market to ensure that our pricing strategy delivers maximum value for the business, whilst simultaneously ensuring that we remain competitively priced. Support the development of self-pay package prices for simple procedures and a mechanism to ensure that price estimates for more complex procedures are highly accurate. Manage the process of payment allocation including supervising the daily and monthly allocation of payments and end of day reports. Operational Develop and implement a programme of transformation within the Private Care billing department to ensure it is high-functioning, efficient and meets the needs of its service users. Develop and maintain invoicing policies and procedures, in compliance with relevant regulations and legislation ensuring robust monitoring of compliance is in place, addressing non-compliance in line with Trust policies. Lead monthly meetings with insurance providers and embassies to discuss billing issues, including aged debt, shortfalls, recoups and payment disputes. Resolve escalated queries that can be challenging and complex and require liaising with a number of different teams, such as Practice Management and Credit Control Support contractual negotiations with insurance companies, embassies, and other providers as part of yearly pricing review. Manage the billing and credit control function to ensure it is efficient and continuously improved to maximise revenue capture and generate income without delay. Create a process to ensure that Consultants are paid for the work that they undertake in a timely and transparent manner and manage the relevant payment runs. Ensure that all Consultant payments are properly compliant with CMA regulations and that there are clear contractual terms in place to govern them. Leadership To manage and be accountable for the proactive management of relationships with sponsors of Private Care and its suppliers. To be the Superuser on Compucare (IT system) for all staff including, setting up appropriate access and taking the lead on liaising with the Compucare support team to escalate ongoing issues and monitor responses. Support on contract negotiations with sponsors of Private Care to secure profitable pricing, ensure that financial uplifts are implemented in a timely manner and to manage the relationship in-year. . Communication Utilise a variety of strategies to communicate effectively and deal with complex financial enquiries and queries from key stakeholders, including Consultants, their private medical secretaries, prospective patients, embassies, referrers and other third-party sponsors, delivering a high standard of customer service at all times. Clearly communicate changes in process and policies to key stakeholders and keep them abreast of any relevant developments and changes within the finance function. Utilise the skills, experience and information gathered through undertaking the role to continuously improve finance processes and function, so that it is more effective for all stakeholders. Be aware of and sensitive to other cultures and religions whilst dealing with private patients, ensuring vulnerable groups are not discriminated against. People Management The post-holder is directly responsible for the management and operations of Private Cares outsourced billing function and to ensure that these teams have the appropriate skills, guidance and expertise to deliver a high-quality service to the business and its stakeholders. Provide support, guidance and development opportunities for staff, with clear and consistent feedback. Ensure that all staff have annual appraisals, meet mandatory training requirements, have structured performance reviews and that clear performance-related objectives are set. Address any performance or HR issues, taking appropriate action as necessary. Participate in the recruitment and training of new staff, as required.