Patient Claims Officer

NHS Scotland; Holytown; Hybrid; GBP 25,000 - 30,000; Full time

Job summary

NHS Scotland is seeking an experienced individual for the Patient Claims Team to assist in checking patient exemptions for dental and ophthalmic charges. The role involves managing payment plans and interacting with patients, often addressing complex inquiries. This position supports a vital function in safeguarding against financial misconduct within the NHS.

Benefits

Pension Scheme

Flexible Working Policies

Occupational Health Services

Discounted Leisure Activities

Qualifications

• Experience in managing patient claims and financial arrangements.
• Strong communication skills for dealing with patient inquiries.
• Ability to work in a challenging environment and handle sensitive information.

Responsibilities

• Confirm claims with the appropriate checking agency.
• Manage payment plans and deal with defaulters.
• Handle challenging calls from patients regarding their claims.

Skills

Communication

Teamwork

Problem Solving

Job description

About The Organisation

National Services Scotland (NSS) is a national NHS Board operating right at the heart of NHSScotland providing invaluable support and advice at a strategic and operational level. NSS supports customers to deliver their services more efficiently and effectively and we offer shared services on a national scale using best-in-class systems and standards. Our priority is always the same – to improve the health and well-being of the people of Scotland. We do this by working in partnership with colleagues across Health and Social Care to deliver fit for purpose solutions and systems, delivering high quality services that help our stakeholders to free up resources so they can be re-invested into essential services.

The Post

NHS Scotland Counter Fraud Services (CFS) has the remit to protect NHS Scotland from financial crime. In achieving this, CFS provides a comprehensive, integrated and professional service to NHS Scotland by proactively identifying and undertaking investigations of suspected financial crime. We are seeking a suitably experienced individual to join our Patient Claims Team.

The Patient Claims Team delivers a national programme of patient exemption checking in accordance with the Penalty Charge (Scotland) 1999 Regulations. The Team is the first line of deterrence for patients who mistakenly or fraudulently claim exemption from NHS dental and ophthalmic charges.

You will be a member of a small team, whose principal activities include confirming claims with the appropriate checking agency, contacting patients where entitlement to exemption cannot be confirmed and taking the necessary follow up action. The team deal with a significant amount of patient calls, many of which can be challenging. The post holder will be responsible for setting up and managing payment plans, dealing with defaulters and case reviews.

The successful candidate will be required to undergo a Disclosure Scotland check. Any candidate who has lived/worked overseas for more than 12 months in the preceding 5 years will also be required to provide a criminal record check from the appropriate overseas agency. Details of how to apply for, or to update, PVG Scheme membership/Disclosure will be supplied to successful candidates.

Location and Working Pattern:

Titan Eurocentral

Currently hybrid working

Monday to Friday, 37 hours per week

It is a condition of this employment that you must live and remain a resident within the UK for the post in which you will be employed with NSS.

Benefits

Our benefits package includes pension scheme, comprehensive range of work life balance policies, occupational health services, learning resource centres and discounted leisure, financial and shopping benefits. HR Benefits Brochure.

Inclusion

NHS National Services Scotland (NSS) is a national board and, as an anchor institution, it is our ambition to be a diverse and inclusive organisation where everyone feels welcome. We recognise that flexible working creates an inclusive workplace where employees can thrive and feel confident about their ability to balance their personal and professional responsibilities. This is supported through Once for Scotland flexible working policies. NSS has made a long-term commitment to staff health and well-being and offers many learning and development opportunities to support and improve our approaches to diversity, inclusion and mental health in the workplace. There are a number of equality staff networks in place which all staff are welcome to join. We are also an equal opportunities employer and as such guarantee to interview all disabled applicants who meet the minimum criteria for our vacancies. As an accredited Disability Confident Leader, it is the aim of NSS to offer a fully accessible and inclusive recruitment service that supports applicants on their candidate journey. If you are interested in any reasonable adjustments, please contact the Recruitment Team on [e-mail]

Further Information

For an informal discussion on the post, please contact Derek Smith, Patient Claims Team Manager via email - [e-mail]

Closing date for completed applications is Tuesday 24th June

Please note we anticipate a high level of interest in this position therefore we may close the vacancy prior to the closing date once a sufficient amount of applications are received. Please ensure you complete and submit your online application at an early stage to avoid disappointment.

Further information on NSS is available from: https://www.nss.nhs.scot/

Please note that the majority of correspondence is sent by e-mail only, so please check your e-mail regularly (including junk folders).