Medserv

Medical Billing and Coding

• Completion of the accounts based on the received information from various entities, including patients, hospitals, insurers and clients
• Handling internal and external email/phone queries from various entities, including patients, hospitals, insurers and clients
• Maintaining high level of professionalism, providing precise and accurate information or instruction on further proceedings
• Ensuring quality of claims meets all standards given by insurance companies, clients and hospitals
• Following all rules for certain clients/hospitals during the process in order to achieve maximum reimbursement and a high level of clients' satisfaction
• Become familiar with the various Insurers Schedule of Benefit Ground Rules
• Establishing and maintaining good client and hospital relationships at all levels.
• Ad hoc duties as they arise (clerical duties, such as filing away documentation in an accurate and orderly manner and colleague holiday cover)
• To be able to work in a high-pressure environment ensuring all the tasks are done in an assigned timely manner

Medical Billing Specialist

Administration

• Managing calls from patients, secretaries, and other medical professionals
• Resolving Customer Queries
• Processing Payments
• Issuing correspondence to patients
• Scanning & Filing Sensitive Documents
• Assisting with aspects of clinic management
• Managing internal and external email queries
• Working as part of a team
• Dealing with ad-hoc duties as they arise

Junior Patient Administrator, 12 month FTC

Risk

• Own and maintain all fees and pricing rules (including clinical indicators (IRL) and diagnostic codes (UK)) held within Proc Code database and related systems.
• Ensure all Insurer and client fee schedules are accurate, up-to-date, and applied correctly across UK/IRL.
• Validate, approve, and publish fee updates into production systems.
• Ensure all fees are consistent, compliant with rules, and aligned with contractual agreements.
• Manage audit trails for fee changes and version control of schedules.
• Run periodic reconciliation checks to ensure no drift between system fee values and authoritative sources.
• Monitor the performance of web-scraping bots used to ingest insurer fee schedules.
• Flag and follow up on scraper failures, changes to insurer websites, or mismatches in extracted data.
• Validate scraper outputs before writing to the database (human-in-the-loop control).
• Act as primary liaison with insurers regarding fee schedule updates and clarification queries.
• Implement mitigation strategies, including controls for changes, QA steps, and escalation paths.
• Track KPIs such as data accuracy, update SLAs, fee-related error rates, and part-paid investigations.
• Identify inefficiencies in fee management processes and propose improvements.
• Provide training and support to teams on fee processes and procedures.
• Suggest improvements to workflow, logic, and user experience.
• Define repeatable processes, SLAs and controls for how fees are managed.
• Work with IT to resolve bugs in the fee logic, scraper logic, front-end UI, and ProcCodes behaviour.
• Help shape the roadmap for future fee automation and tooling.

Medical Billing Specialist

Junior Patient Administrator, 12 month FTC

Fee Governance Lead

Junior Patient Administrator