Job Opportunities in United Kingdom
October 14, 2024
Bupa
Staines-upon-Thames
FULL TIME
Provider Contract Maintenance Assistant
Provider Contract Maintenance Assistant
Job Description:
Provider Contract Maintenance Assistant
Bupa Place (Salford Quays, M50 3SP)
Hybrid working (3 Days WFH)
Permanent
Full Time (37.5 Hours)
Starting at £26,500 per annum
We consider all types of flexibility, including locations, hours and working patterns.
Working in our UK support functions you'll play a key part in helping our customer facing colleagues deliver exceptional standards of customer service and patient care. No matter your role, you'll have an opportunity to do work that matters. Making a difference to the lives of our customers each and every day.
Role Overview
As Provider Contract Maintenance Assistant you will be responsible for supporting the Hospital Management and Consultant & Clinician Management teams in ensuring that Bupa has robust contracts with its' providers, systems are up to date and that contract queries are resolved in a timely manner. The role is varied and provides periodic support for the network team and hospital portfolio teams in line with the changing demands of the department.
You'll help us make health happen by
Our benefits are designed to make health happen for our people. Viva is our global wellbeing programme and includes all aspects of our health - from mental and physical, to financial, social and environmental wellbeing. We support flexible working and have a range of family friendly benefits.
Joining Bupa in this role you will receive the following benefits and more:
We're a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose - helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.
We encourage all of our people to "Be you at Bupa", we chion diversity, and we understand the importance of our people representing the communities and customers we serve. That's why we especially encourage applications from people with diverse backgrounds and experiences.
As a Disability Confident employer, we offer a guaranteed interview for every disabled applicant who meets the minimum criteria for the job. We'll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them.
Time Type:
Full time Job Area:
Administration Locations:
Bupa Place, Staines - Willow House
Job Description:
Provider Contract Maintenance Assistant
Bupa Place (Salford Quays, M50 3SP)
Hybrid working (3 Days WFH)
Permanent
Full Time (37.5 Hours)
Starting at £26,500 per annum
We consider all types of flexibility, including locations, hours and working patterns.
Working in our UK support functions you'll play a key part in helping our customer facing colleagues deliver exceptional standards of customer service and patient care. No matter your role, you'll have an opportunity to do work that matters. Making a difference to the lives of our customers each and every day.
Role Overview
As Provider Contract Maintenance Assistant you will be responsible for supporting the Hospital Management and Consultant & Clinician Management teams in ensuring that Bupa has robust contracts with its' providers, systems are up to date and that contract queries are resolved in a timely manner. The role is varied and provides periodic support for the network team and hospital portfolio teams in line with the changing demands of the department.
You'll help us make health happen by
-
Issue communications to providers relating to networks and tenders and coordinate responses from providers including chasing of providers who have not responded.
-
Support the Network Executives in preparing provider application portal in CRM.
-
Support providers when responding to tenders / network application, answering queries over process and information requirements in a timely and professional manner.
-
Identify providers that have not / are unlikely to respond or where queries cannot be adequately addressed and escalate to Network Manager and relevant provider contract manager.
-
Take ownership of first line complaints and work within service standards to resolve them
-
Developing effective relationships with Healthcode and all other key internal stakeholder areas supporting payment integrity (e.g. Coding & rules, Policy, MI specialists, IT)
-
Adopting a continuous improvement mindset to remove any unnecessary steps, handoffs and manual decisions in the payment Integrity contract management process, Processing of Change Orders related to Hospital and Consultant & Clinician contracts
-
Review provider tender submissions to ensure they have been completed thoroughly, following up any omissions.
-
Keep records of all provider network correspondence archiving on shared drive, Infosite and in project folders.
-
Support updating of all Bupa systems necessary to manage the new networks.
-
Actively consider and identify risks and issues as they arise and work with the wider Provider Management team to ensure they are recorded, managed and resolved
-
Provide first line support to teams in Service by answering queries relating to provider contracts that are preventing the processing of claims and pre-authorisations.
-
Handle inbound and outbound queries efficiently and professionally, ensuring these are managed in accordance with business processes.
-
Ensure that all queries are recorded in Bupa query management system so that query category, status and resolution speed are accurately monitored.
-
Numerate and analytical. Comfortable working data in MS Excel
-
Well organised and effective at managing own workload and prioritising competing demands from multiple stakeholders.
-
Rational thinker, able to spot / resolve issues and opportunities to improve operational processes.
-
Good written and oral communication skills, explaining complex issues clearly and concisely, presenting compelling arguments / proposals using fact based evidence and research.
-
Ability to build effective relationships with internal and external stakeholders, able to challenge constructively and resolve conflict / issues productively.
-
Strong team player, focussed on delivering own objectives while enabling / supporting others to deliver theirs.
-
Comfortable using and interrogating complex enterprise management systems.
-
Energetic, positive attitude to work, collaborative approach, gives and listens to honest feedback.
-
Educated to A level or with relevant practical experience.
-
Experience of healthcare desirable or other complex, multi service line environment essential
Our benefits are designed to make health happen for our people. Viva is our global wellbeing programme and includes all aspects of our health - from mental and physical, to financial, social and environmental wellbeing. We support flexible working and have a range of family friendly benefits.
Joining Bupa in this role you will receive the following benefits and more:
- 25 days holiday, increasing through length of service, with option to buy or sell
- Bupa health insurance as a benefit in kind
- An enhanced pension plan and life insurance
- Onsite gyms or local discounts where no onsite gym available
- Various other benefits and online discounts
We're a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose - helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.
We encourage all of our people to "Be you at Bupa", we chion diversity, and we understand the importance of our people representing the communities and customers we serve. That's why we especially encourage applications from people with diverse backgrounds and experiences.
As a Disability Confident employer, we offer a guaranteed interview for every disabled applicant who meets the minimum criteria for the job. We'll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them.
Time Type:
Full time Job Area:
Administration Locations:
Bupa Place, Staines - Willow House
Company pension, Paid volunteer time, Free flu jabs, Cycle to work scheme, Gym membership, Private dental insurance, Health & wellbeing programme, Discounted or free food, Additional leave, Referral programme, Financial planning services, Private medical insurance, Employee mentoring programme
We regret to inform you that this job opportunity is no longer available
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