Officer: Appeals & Phb Team

Job summary WorkingPattern: Monday to Friday, hours per weekWe are seekinga dedicated Administrator to join the Black Country ICBs All-Age ContinuingCare team.
In this pivotal role, you'll provide essential administrativesupport, ensuring smooth and effective Appeals and PHB processes for ourpatients.
You'll have the opportunity to work with a wide range of people,including healthcare providers and clinical professionals.The idealcandidate will be a detail-oriented, self-starter who can work independentlyand manage multiple tasks simultaneously.
The successful candidate will ensureall communications are handled with the utmost professionalism and care, makinga positive impact in the lives of patients navigating the complexities of thehealthcare system.
If you're ready to bring your exceptional organisational andcommunication skills, we encourage you to apply and become a vital part of our supportiveand collaborative team, delivering outstanding services.KeySkills and Qualities:Strongorganisational skills and attention to detailClearand professional verbal and written communication with all stakeholders.Abilityto work independently and manage multiple tasks simultaneouslyStrongproblem-solving skills and the ability to make informed decisionsCompassionateand empathetic approach to patient and public interactionsProficientin using information systems and generating reportsAbilityto maintain confidentiality and handle sensitive information with discretion Main duties of the job Providecomprehensive administrative and clerical support to the Appeals and PHB teams.Reviewand process appeal requests in a timely and accurate manner, ensuringcompliance with all regulatory requirements.Supportfinancial audits of PHB direct payment packages, investigating and resolvinganomalies, and developing reporting processes to enable all audit outcomes tobe reported to senior management.Serveas a liaison between patients, patient representatives, healthcare providers,legal, and clinical professionals, ensuring all public and patient contact isof the highest professional standard.Maintaindetailed and accurate records using multiple information systems.Generateaccurate data to enable local, regional, and national reporting, completingspecified templates every month.Provideguidance and support to patients and their families throughout the appeals andPHB processes.Coordinateall aspects of meeting management, including scheduling panels, settingagendas, and taking and circulating detailed minutes.Monitorand follow up with relevant others on any items for action arising frommeetings.Maintainconfidentiality regarding all conversations and documentation.
About us The Black Country Integrated Care Board (ICB) is a statutory NHSorganisation responsible for developing a plan for meeting the health needs of million people in the Black Country.
We manage the NHS budget for Dudley, Sandwell, Walsall and Wolverhampton and areresponsible for planning and buying Primary Medical Services (GPs), dental,optometry and pharmacy services.
We are part of the Black Country Integrated Care System (ICS),known as Healthier Futures, which is a partnership of organisations workingtogether to bring health and social care services closer together for the goodof our communities.
We support the ICS vision for a healthier place withhealthier people and healthier futures.The ICB has five core values that underpin theway we work and help to guide our actions and the decisions we make for localpeople and communities.
These are compassion, inclusivity, integrity,fairness and trust.We are an equal opportunities employer who actively supports andencourages increasing the diversity of our employees, and welcome applicationsfrom people with transferable skills gained through experience across the fullrange of health and social care settings.We are also a bronze award holder under the Defence EmployerRecognition Scheme (ERS).
The ERS recognises commitment and support from UKemployers for defence personnel.Note: in case of fraudulent activity please ensure you check the sender which will be from Job description Job responsibilities Havingadvanced knowledge of the National Framework for Continuing Healthcare, supportthe Continuing Healthcare team to ensure that the portfolio of tasks/projectsis planned, managed and delivered effectively within a defined framework, asset by the ICB and national guidance.Toprovide and receive complex, emotive and sensitive patient information, on adaily basis.Dealwith telephone and email enquiries from patients, relatives, carers and allstaff groups providing appropriate information, directing and prioritisingqueries whilst maintaining patient confidentiality.
Recognising thatcontact with the service will be highly emotive and contentious in manysituations regarding assessment co-ordination and discharge to assessprotocols.Explaindifficult processes to the public in a simplified, jargon-free wayaccommodating any cultural/language barriers to communicationComplywith GDPR and Information Governance policies and procedures in relation tosharing of patient information.Toensure all public and patient contact with the office is of the highestprofessional standard.Handlesignificant quantities of confidential and sensitive information on behalf ofthe Senior Managers, always ensuring the appropriate degree of confidentiallyand discretion is adopted at all timesSupportthe Head of CHC, in the monitoring and implementation of NHSE directivesincluding; Discharge to Assess programme and 28 day breach metricsSupportthe Head of CHC and relevant others with secretarial and administrativeservice; arranging meetings and panels, minute-taking for multi-stakeholdermeetings, distributing agendas and papers, circulating action memos, draftingcorrespondence and diary managementEnsureaccurate and open communication and co-ordination with a range of organisationsand individuals, researching and drafting correspondence and papers andensuring the management of specific tasks, lead reporting and analysis across arange of specialties, functions and projects.Bea key member of the team as well as supporting effective communication andstakeholder management, both internally and externally.Tobe responsible for the collation of data and information relating to patientreferrals processed onto the patient management system using agreed protocolsand procedures.Tocontribute to improving, recommending, and implementing processes across theCHC administration team, including effective information management within theteam.Provideassurance on the data integrity of the information entered on the patientmanagement systemBeresponsible for providing and presenting regular accurate and timely datasets,support and analysis to CHC Management.ProvideCHC Nursing Team with appropriate support, guidance and training incommissioning processes, advice and guidance in own area of expertise.Toassist with the collation of data for Freedom of Information & SubjectAccess requests.Torespond to requests for information and queries from internal and externalcolleagues in a timely and professional manner.Participatein relevant internal and external working groups/projects, services andinitiatives to provide, information, advice and expertise.Develop,implement, and maintain electronic data collection systems that will provideaccurate and timely information.Liaisewith a range of stakeholders to share best practice.Workcollaboratively with members of the team to address variance issues andproactively contribute to the implementation of solutions.Toplan and organise own workload with limited supervision, resolving urgentrequests for data and information.Maintainhigh quality data standards whilst subject to frequent and unplanneddisruptions.Followsorganisational and departmental policies and procedures affecting role.Undertakeinternal audits as required.Carryout web based and publications research as appropriateTocontribute to the on-going review and development of existing procedures toimprove processing and retrieval of information.
Person Specification Qualifications Essential Educated to NVQ Level 3 in a relevant subject or equivalent level of qualification or significant equivalent previous proven experience Previous experience of working in a healthcare administrator role Skills and Knowledge Essential Knowledge of the National Framework for NHS Continuing Health Care and Funded Nursing Care and its application in practice Ability to communicate effectively to patients, carers, families, health and social care professionals Ability to analyse complex data issues where material is conflicting and drawn from multiple sources Demonstrated capability to act upon incomplete information, using experience to make inferences and decision making Ability to work at a detailed level, identify inconsistencies where these impact on outcome Ability to extract relevant data from multiple systems and use a range of IT applications to present accurate reports to senior management Ability to work under pressure, retaining high levels of concentration and accuracy whilst subject to frequent and unplanned disruptions Ability to react to changing information Experience of implementing internal processes and procedures and supervising colleagues to adhere to established processes Ability to plan, prioritise and meet tight deadlines whilst working on multiple projects Ability to work effectively as part of a team Advanced knowledge of Microsoft Office, specifically; Word, Excel and Outlook Understanding of General Data Protection Regulation (GPDR), confidentiality and Information Governance Proven interpersonal skills to work with staff at all levels Clear communicator with excellent writing, data entry and presentation skills: capable of constructing and delivering clear information/instructions to staff, customers and service users Plan, organise and deliver support and training to clinical and non-clinical staff in the effective use of patient management systems Ability to communicate with a range of clinical and non-clinical staff Enhanced emotional intelligence, ability to cope with exposure to sensitive, emotive and contentious conversations and patient case notes Experience Essential Demonstrable experience of delivering high standards of customer service Experience in managing complex and conflicting data and information Demonstrate an exceptionally high level of competence in using a range of bespoke and national databases, patient management systems and corporate finance systems Experience of working in a fast-paced and challenging environment Understanding of the public sector with demonstrated experience in a Healthcare environment