Claims and Medical Administrator - Stowmarket, United Kingdom - Primary Care Careers

Primary Care Careers
Primary Care Careers
Verified Company
Stowmarket, United Kingdom

2 weeks ago

Tom O´Connor

Posted by:

Tom O´Connor

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Description

About the Role:

Suffolk Primary Care as an opportunity for an experienced claims and medical administrator to join our fabulous, busy practice team, ideally on on a

full-time basis but part time will be

considered, supporting the contractual claims work for our GMS & PMS practices and support our existing teams.

You will be

responsible for allocated sites, but also support the team, to ensure the contractual claims are completed for Suffolk Primary Care. and also for completing work with the medical administration team.

The main responsibilities of the role include:

  • Collating of contractual claims on a monthly, quarterly and annual basis as indicated by contract schedules.
  • Using SystmOne reports, CQRS and other reporting templates required for submission of claims.
  • Ensuring all contractual claim requirements are complete, report this data using local and national online claim portals.
  • Liaising with ICB and NHS England colleagues and provide evidence when required.
  • Liaising with site clinical and operational staff for additional data/evidence if required.
  • Interrogating data on SystmOne to check the practice is not missing available income.
  • Undertaking clinical reporting, audits and produce statistics as requested.
  • Transferring and processing electronic discharges from the NHS mail to pdf format.
  • Transferring and processing discharges and clinic letters received via tasks.
  • Scanning and processing hard copy letters.
  • Coding relevant information onto the clinical system to include relevant QOF data and clinical information following the Suffolk Primary Care Clinical Correspondence Coding Protocol.
  • Administering of longterm condition recalls following the agreed Suffolk Primary Care Protocol.
  • Undertaking Quality Outcome Framework (QOF) work where required following the agreed Suffolk Primary care Protocol.
  • Working across Suffolk Primary Care sites to provide cover and additional support where required.
  • Undertaking other reasonable duties within the framework of the post as directed by the Practice Operations Manager / Partners.
Please see full job description attached.


Essential:

  • Experience of working within primary care.
  • Excellent attention to detail and ability to check and recheck work to ensure high levels of accuracy.
  • Ability to work on repetitive and regular tasks.
  • Ability to work under pressure and to deadlines.
  • Excellent interpersonal skills.
  • Ability to liaise effectively with team members.
  • Good communication skills
  • Ability to escalate problems/issues as required.

Desirable:

  • Knowledge of NHS contracts and claims
  • Knowledge of medical terminology
  • Knowledge of SystmOne
  • Experience of audit and data analysis

Benefits of working for SPC include:

  • NHS Pension Scheme
  • The NHS Pension Scheme is a defined benefits scheme
  • Life insurance
  • Family benefits including an adult dependents pension and children's pension
  • Ill health benefits
  • 20% employer contribution
  • Electric Car Salary Sacrifice Scheme
  • No deposit
  • No credit check
  • Fully comprehensive insurance
  • Servicing and tyres
  • Breakdown cover
  • Proper Pay
  • Living Wage Foundation Accredited
  • GP Remote Working
  • Eye Care Vouchers
  • Health Service Discounts


  • Annual Leave

  • Minimum 33 days, including bank holidays, FTE, with enhancements for long service
  • Enhanced maternity & paternity terms
  • High street discounts through our own online portal
  • Technology and homewares salary sacrifice schemes with Curry's and John Lewis
  • Cycle to work salary sacrifice scheme
  • Gym salary sacrifice scheme
**Disclosure and Barring Service Check
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