Management of stock and loss prevention at Grupo Boticário focusing on reducing losses and risks. Involves coordinating processes across retail operations and providing training.
About the role
- Fee Governance Lead at Medserv responsible for managing medical billing accuracy and integrity. Overseeing fee schedules and collaborating with multiple teams in the healthcare sector.
Responsibilities
- 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.
Requirements
- Extensive experience of a medical billing system
- Strong knowledge of client and insurer fees and pricing schedules
- Ability to communicate and collaborate with multiple teams effectively
- An analytical approach
- Advanced Excel skills
Benefits
- Private Medical
- Life Assurance
- Gym membership
- Maternity and Paternity leave
- Holiday Plus Scheme to purchase additional leave
- Dedicated EAP
- Pension contribution
- Professional development opportunities
- Regular sports and social events
- Healthy food with comfortable on-site recreational facilities
- Access to tax incentive schemes i.e. commuter schemes and bike to work
- Maternity and Paternity leave (T&C's apply)
- Workcation options
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