Finance Operations Manager

at  Blackrock Health Hermitage Clinic

ABOUT THE HERMITAGE CLINIC

The Hermitage Clinic is a private hospital providing a full range of medical and surgical care across a broad spectrum of specialities. The Finance function has responsibility for the provision of financial management and reporting across all clinical and non-clinical areas of the clinic. The Finance function makes a significant contribution by developing and maintaining best practice in management and financial accounting.

THE ROLE

The Finance Operations Manager is responsible for the end-to-end Claims process from the point of submission, submitted unpaid resolution, and, in turn, cash collections. This role will be responsible for identifying, planning and implementing operational improvements while also executing the management and implementation of ongoing KPI’s and reporting across the Financial Operations function. This role combines both a hands-on and strategic approach of process improvement and managing the Finance Operations team.
A key part of the role will be the management of stakeholder relationships with internal departments across the hospital to ensure best in class finance operations within the areas of responsibility. The role will be responsible for designing and driving operational process efficiencies within the team and wider hospital.
The Finance Operations Manager will be responsible for leading and motivating the team as well as being responsible for setting objectives that align with the overall hospital objectives.
As a key member of the finance team, the role holder will demonstrate professional expertise and a collaborative approach to facilitate effective communication with colleagues in the team/hospital. The position requires a participatory approach to the development of services and structures, embracing continuous quality improvement and the management of changes necessary to achieve organisational objectives.

KEY DUTIES FOR THIS ROLE WILL INCLUDE

• Oversee all aspects of the Invoice-to-Cash process with a particular focus on the Claims process
• Implement and continuously improve on appropriate KPI’s and measurements that drive the required results that maximise cash, achieve Days Sales Outstanding (DSO) targets, minimise bad debts and revenue leakage.
• Oversee revenue assurance to manage potential leakage.
• Work with the Billing team to ensure accurate and timely billing, that we bill correctly per our agreed insurance contracts, capture and resolve billing anomalies/submission queries resulting in a reduction of errors/returns/audits.
• Liaise closely with the Contract Manager, insuring contracts are up-dated and queries identified & resolved.
• Work with the credit control team to ensure all claims submitted are followed up and paid, action short paid claims by following up with the insurers and patients, action pended claims and rejected claims.
• Manage the credit control process of claims that require the help of collection agencies.
• Optimise verification and credit control processes
• Reviewing and authorising write off requests and patient refunds.
• Oversee regular audits with the healthcare claims agencies on part-paid insurance claims.
• Agree relevant departmental Key Performance Indicators (KPI’s) with manager and stakeholders.
• Assist in the annual external audit.
• Report KPIs to relevant parties; agree and implement actions required based on KPI’s.