West Gippsland Healthcare Group

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1 West Gippsland Healthcare Group Position Description (Finance) Position Title: Hours of Work: Reporting Relationship: Enterprise Agreement: Division: Classification: Location: Private Inpatient Billing Clerk Part-time, 32 hours per fortnight, 2 days per week Responsible to the Finance Manager Victorian Public Health Sector (Health Professionals, Health and Allied Services, Managers & Administrative Officers) Multiple Enterprise Agreement Corporate Services WC1 West Gippsland Healthcare Group (Hospital Site) Position Summary: This position is responsible for all private and compensable inpatient billing for the hospital with the assistance of the Private Patient Liaison Officer (PPLO). To assist the Finance Information Officer (FIO) with the monthly processing of Visiting Medical Officer (VMO) payments under the CMBS and doctors contracts. Organisation Overview: West Gippsland Healthcare Group is a sub-regional public hospital providing 77 Hospital and 110 Aged Care beds. We provide acute medical and surgical, paediatric, obstetrics & gynaecology, emergency, aged care and community services, primarily in the Shire of Baw Baw, approximately 100 kms east of Melbourne. West Gippsland Healthcare Group comprises a number of sites. They are Baw Baw Health and Community Care Centre in Drouin, Community Services Centres in Warragul and Trafalgar, Rawson Community Health Centre, Cooinda Lodge Aged Care Residence, Andrews House Aged Care Residence, Warragul Linen Service and West Gippsland Hospital. Vision: To improve the health and wellbeing of our community.

2 Mission: West Gippsland Healthcare Group is committed to the provision of high quality, integrated health care that meets the changing needs of individuals and our community. What we value is: Our Customers Our Community Our Staff Leadership Improving Performance Be committed to continuity of care for individuals whilst recognising rights, responsibilities and participation. Be a responsible corporate citizen and neighbour in caring for our community and environment We are committed to our staff s wellbeing and ongoing development Be a role model in the planning and delivery of health services Ensure continuous quality improvement. Organisational Structure: The Inpatient Billing Clerk will report to the Finance Manager Direct reporting line: Chief Executive Officer WGHG Director of Corporate Services Finance Manager Finance Team members Finance Information Officer Inpatient Billing Clerk The Inpatient Billing Clerk will be required to liaise with: Externally: Internally: Those that are outside the organization such as Health Funds, Medicare, DVA, Insurance Companies, Patients and the General Public. Doctors, Doctors surgery staff, Finance Department Staff, Private Patient Liaison Officer, Finance Information Officer.

3 Qualifications/Experience: Mandatory: Extensive experience working in an office environment, particularly in invoicing/billing. Excellent computer skills in Microsoft Office, particularly Word and Excel. High level accuracy and attention to detail. Good numeracy skills. A thorough understanding and respect for confidentiality requirements. A pleasant, responsible and mature work attitude. Demonstrated history of attendance and punctuality. Desirable: Year 12 (VCE) or equivalent Experience in billing/invoicing in an office environment. Knowledge of privacy legislation and document control. Knowledge pertaining to health funds and private health insurance. Previous experience within a hospital or health care environment. Key Selection Criteria: Key Competencies: Understanding of inpatient billing processes, private health funds and private health insurance. Respect for confidentiality. Outstanding organisational and management skills, maintaining work load to ensure that deadlines are met. Ability to work in a multi-disciplinary team environment. Ability to communicate constructively and effectively with key stakeholders. Ability to work independently with minimal direction. Excellent oral and written communication skills. Attention to detail. Ability to work under pressure, handling multiple tasks simultaneously. Personal Attributes: Commitment to providing a customer focused service. Ability to use initiative. Capacity and willingness to be flexible and adaptable. Commitment to corporate vision, mission values and agreed critical strategies. Key Responsibilities: End of Month Processing: Prepare the monthly inpatient debtors/revenue journal to be processed within the Finance Management Information System (FMIS) Prepare ad-hoc reports as requested by the Director Corporate Services, Finance Manager, PPLO and FIO.

4 Day to day duties and Responsibilities: Responsible for assisting with the maximization of the private inpatient revenue within acute services at West Gippsland Healthcare Group. To understand and apply the Victorian Governments Fees and Charges Schedules for Health Services. To liaise with the PPLO to determine billing requirements for each private inpatient ensuring that the patient does not incur and out-of-pocket expenditure. Determine the billing requirements for all other compensable inpatients and invoice accordingly. Be responsible for liaising with Health Funds to check private patient eligibility, financial status, pre-existing ailments, excluded services, single room entitlement and excess liabilities. Check patient data for accuracy to ensure billing information is correct and raise invoices on the ipm system. Provide all information to health funds where required. Accommodation fees and charges are to be billed in accordance with DH fees manual. Ensure that private patient prosthesis and other eligible consumables are identified and listed for billing. Liaise with accounts payable to ensure that the hospital is not being charged for private inpatient expenses such as pathology, radiology and ambulance. To complete a monthly review of the inpatient debtor amounts and make contact with the health funds in relation to any amounts outstanding or overdue. Liaise with the Cashier to determine any debt collection requirements. Determine writeoffs where required. Assist the FIO in the processing of VMO payments in accordance with the relevant CMBS and current doctors contracts/arrangements. Undertake other tasks and duties as requested by the Director of Corporate Services, Finance Manager and FIO. Confidentiality: Ensure that any personal, private or sensitive information obtained regarding a staff member or client remains confidential. Personnel Reporting To This Position: Not applicable Annual Operating Expenditure: Not applicable Personal Responsibilities: Comply with all Occupational Health & Safety Regulations. Comply with all legislative requirements. To complete mandatory training annually that has been identified as being a requirement of the position. Participate in continuous quality improvement. Ensure that effective lines of communication are maintained with key stakeholders.

5 To participate in an annual performance appraisal every twelve (12) months. Conditions of Employment: Employment subject to provision of satisfactory Police Record Check and/or Working with Children Check. 6 months probationary period. Comply with all WGHG policies and procedures. Reviewed By: Finance Manager Last Review Date: February 2013 Date to be Reviewed: February 2014 I have read and am satisfied that I have understood the contents of this Position Description. While this position description reflects the current duties and responsibilities, it is not to be interpreted as all inclusive. It may be subject to review from time to time. Employee Name: Employee Signature: Witness: Date: The West Gippsland Healthcare Group is an Equal Opportunity Employer

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