Job Purpose

• To provide high level administrative support in the Management and Billing of Non Eligible / Private Patients episodes undertaken within Jersey General Hospital / HCSD.
• The post holder will be expected to provide advice to Jersey residents and to visitors on the provisions of the reciprocal agreements to which Jersey is party.

For an informal conversation, please contact Tracey Wilkinson on T.Wilkinson2@health.gov.je. 

Statutory Responsibilities

The administrative function provided by the post holder is central to ensuring HCSD is identifying, capturing and effectively charging for all Non Eligible private episodes of care carried out. The role requires initiative and direct patient contact in often difficult circumstances. Where no health agreement exists the post holder will be required to assess, explain and process the appropriate charges. The post holder will thus be required to deal directly with overseas patients and their relatives and with overseas travel insurers.

Job Specific Outcomes 1 of 2

• Collect and collate information and documentation relating patient activities for the preparation of charges and other non-clinical chargeable services. Ensure that all paperwork has been completed fully and accurately.
• Identify the chargeable events from the paperwork and apply the correct value of charges from the tariff and prepare a request to invoice.
• Provide advice to insurance companies on admission and discharge of patients and likely costs of treatment. Follow up discrepancies with insurers and patients, and negotiate with insurance companies to resolve underpayments and maximise income
• Attend clinics/wards to advise patients on charges and invoicing processes. As required collect funds due by cheque, credit card, BACS or direct debit.
• Provide information and advice to hospital staff and overseas visitors on departmental policies, procedures and charges. Provide informal estimates of likely costs to prospective patients.
• Raise invoices, credit notes, and minimise debt relating to Non Eligible / Private Patients episodes of care.
• Collate and administer weekly data share and send correspondence relating to this information.
• Compile information relating to Charges of Appeal and credits for authorisation.
• General administrative tasks incl data entry, filing, emails, telephone enquiries and any other tasks as may be required to further the processing of Non Eligible and Private episodes of care and their income.
• Taking payments prior to episodes of care.

Knowledge and General Skills

• As a member of the Private Income Team, you will be part of a team responsible for identifying and collecting income from individuals and insurance companies for private patient treatments and for other chargeable services.
• Your work requires you to be comfortable dealing with members of the public, clinical and corporate colleagues and insurers on sensitive patient treatments and income related matters as well as performing routine administrative tasks.
• You will be expected to hold yourself accountable for your own workload but remain adaptable to the needs of the team.
• The team’s work processes are evolving and in time it is expected that you will contribute ideas and adapt to new initiatives.
• You will have a minimum of 5 GCSEs (Grade C & above) including Maths, English Language. A book keeping qualification would be advantage. A good knowledge of Microsoft office suite and the ability to grasp new IT applications quickly is essential.
• You must be highly organised and able to communicate at a high level both in writing and verbally. You will need good, persuasive and communication skills when dealing with insurance companies, a wide range of hospital staff, external organisations and with patients and relatives in what may be very difficult circumstances
• You should have good numeric skills, experience in a financial processing environment, and knowledge of financial ledger systems, preferably Connect. 
• You must have good oral and written communication and an ability to communicate effectively with clinical and administrative staff and hospital patients.
• Proven experience of working to strict deadlines and the ability to deal with confidential information are essential.
• You should have experience of working in a customer focused environment; some knowledge of medical terminology would be beneficial