Private Patient Billing Officer

Job description

Job responsibilities

Prepare cost estimates for consultants and patients by completing cost estimate documentation using the appropriate procedure codes and prices, referring to the current Private Patient Tariff

Verify the accuracy of information provided by clinical departments, including the Chelsea Wing, Endoscopy, and Private Outpatients, by checking Cerner (Electronic Patient Records) and E-Proc systems before raising invoice requests.

Collate and record details of patients' tests and procedures using the BUPA Schedule of Procedures and the Private Patient Tariff. Populate and maintain individual patient invoice templates, ensuring tariffs and contracted rates for insured patients are applied correctly.

Prepare supporting documentation received from Admissions Officers and outpatient clinics, ensuring policy numbers, authorisation details, and guarantee letters of payment from embassies and insurance companies are included. Where information is incomplete, liaise with the relevant department to obtain the required documentation.

Process private patient re-bill and credit note requests for both inpatient and outpatient activity, including self-funded patients, embassy-sponsored patients, and private maternity cases, as directed by the Finance Lead.

Investigate and resolve billing and account queries received in person, by telephone, or email, dealing with patients sensitively and professionally. Liaise effectively with internal departments and external organisations, including insurance providers and embassies.

Maintain accurate, organised, and up-to-date filing systems for all financial and patient-related documentation.

Always ensure strict confidentiality of patient information, in accordance with the Trust's Confidentiality Policy and Information Governance requirements (GDPR).

Develop and maintain proficiency in Trust financial systems, including Compucare, and other relevant IT systems such as Cerner Patient Administration System (PAS), to verify patient information and support financial processes.

Provide cover for the Assistant Service Manager when required, supporting the day-to-day operation of the Private Patients service.

Process payments securely from patients using debit and credit cards over the telephone by entering details directly into Compucare. Issue payment confirmations and receipts to patients via email.

Participate in the team rota and work evenings and weekends when required to meet service needs.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.

All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure, you must seek clarification from a more senior member of staff.

Person Specification

Experience

Essential

• Demonstrate well developed, effective interpersonal skills and communication skills
• Knowledge of medical terminology.

Desirable

• Experience within a Private Patients Department

Education and qualifications

Essential

• Technical Apprenticeship in Customer Service
• NVQ Level 4 Customer Services

Desirable

• AAT Level 2 basic accounting or equivalent knowledge or experience

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH

United Kingdom

Employer's website

https://www.chelwest.nhs.uk/