Insurance Benefits Coordinator

2 weeks ago

Dublin, Dublin City, Ireland beBeeVerification Full time €40,000 - €60,000
Job Title: Insurance Verification Specialist

Verify patient health insurance entitlements in advance of their treatment/procedure and communicate to patients and staff any balances owing.

Key Responsibilities:
  • Timely verification by phone or using electronic verification systems that patients have valid private health insurance.
  • Obtain complete record of each patient's relevant history of illness and insurance coverage to determine that any pertinent waiting periods have been served.
  • Identify the level of each patient's private health insurance cover and accurately calculate any excesses, shortfalls or co-payments owing.
  • Ensure timely communication to patients to explain the extent of insurance coverage provided by their insurance policy and clearly set out any financial obligations to the hospital they may have.
  • Calculate charges owing for self-paying patients and communicate these to the patient.
  • Enter all insurance information accurately into the hospitals system.
  • Document activity in the patients account in a timely manner with relevant, clear and precise information.
  • Ensure that patient confidentiality and other hospital policies regarding data protection are adhered to.
  • Maintain up-to-date knowledge of insurance contracts and plans as they change.
  • Provide expert validation support and advice to other service areas undertaking validation activity.
  • Coordinate with the Business Office team regarding issues or concerns regarding patients' accounts.
  • Handle incoming and outgoing calls from other staff members, Health Insurers and patients related to insurance benefits and charges in a courteous, timely and professional manner.
  • Demonstrate a positive attitude that is supportive of your colleagues and manager in delivering the best service to patients and visitors.
  • Maintain a neat and tidy work area.
  • Assist in the training and development of new employees.
  • Be open to new learning opportunities and adaptable to change.
  • Assist in dealing with and recording complaints in an effective and courteous manner. Ensure the Supervisor/Manager of the area is made aware of any complaints.
  • Identify and escalate priority issues referring to the Supervisor or Manager if necessary.
Personal and Professional Responsibilities:
  • Adhere to the hospital's mission and Vision
  • Maintain patient confidentiality including authorisation of the release of medical information
  • Abide by hospital policies and all regulatory requirements including mandatory training
  • Have excellent customer care and communication skills, both written and verbal
  • Have excellent knowledge of computers and Microsoft Windows software and keyboard skills
  • Have excellent time management skills and ability to multi-task and prioritize work
  • Build collaborative relationships through strong teamwork across the organization
  • Be flexible, reliable and detail orientated. Hours of work will on occasion be subject to change
  • A willingness to change with the hospital requirements
Qualifications and Experience:
  • Leaving Certificate or equivalent
  • Experience using IT systems, including MS Excel & Word
  • Previous experience working with private medical insurance processes
  • Previous experience in a customer facing administrative role
Job Specific Competencies and Knowledge:
  • Exhibits high level of customer/patient relation skills
  • Complies with processes and procedures
  • Exhibits ability to work as member of team in daily performance of duties
  • Have a high capacity for responsibility and individual initiative
  • Able to communicate using clear and concise English
  • Have excellent organisational skills

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