Claims Submission Specialist

Role overview

UPMC is hiring an Access to Care Claims Submission Specialist for an 11-month fixed-term contract. The role is based full time at the Cleaboy Business Office, Unit 4 in Waterford, County Waterford. This position sits within an integrated healthcare team supporting administrative operations across UPMC services.

The Access to Care team focuses on the efficient handling of administrative support tasks across the organisation. The successful candidate will work with speed, accuracy, and flexibility to help support the team’s mission of improving access to patient care. The ideal person will be detail-focused, adaptable, responsive, and eager to learn in a busy environment. Strong organisation and comfort using technology to work collaboratively are important.

Primary duties

• Process public and private claims promptly and accurately.
• Monitor unbilled claims and work with business partners to make sure submissions are correct and sent on time.
• Handle questions and issues raised by internal and external stakeholders.
• Assist the claims submission team with ongoing projects.
• Deal with patient enquiries relating to claims submissions.
• Build practical knowledge of private health insurance and insurance verification.
• Communicate clearly with patients, staff, and other stakeholders.
• Provide broad administrative support to keep services running smoothly.

Qualifications and experience

Applicants should have at least 12 months of experience in a comparable role and a Business/Secretarial qualification. Good working knowledge of Microsoft Office is required. Experience with healthcare systems, including iPims, is considered an advantage.

Employment details

This is a fixed-term, full-time onsite position at UPMC Cleaboy Office in Waterford. The role is for 39 hours per week. The stated salary range for the equivalent full-time permanent contract is €30,500 to €43,273 per annum. The company notes that the job outline may change as business needs evolve.

Equal opportunity and benefits

UPMC is committed to equal opportunity and an inclusive workplace. The organisation offers a total rewards programme with market-competitive and fair benefits, plus opportunities for growth.

• Fully paid maternity and paternity leave for new parents.
• Competitive pension plan.
• Company-funded death in service benefit equal to 3 times salary.
• Critical illness cover for employees up to age 66.
• Annual ACES performance and recognition programme.
• Enhanced annual leave of up to 27 days.
• Flexible working options to help balance outside family commitments.
• Ongoing learning and development opportunities, including career progression.

About UPMC

UPMC is an international academic medical centre with a people-centred approach to care, combining clinical and technological innovation, research, and education. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, the organisation operates globally through UPMC International in Italy, Ireland, and Croatia.

In Ireland, UPMC has been serving the South East since 2006. Its Irish network includes UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane, UPMC Aut Even Hospital in Kilkenny, outpatient services in Carlow, radiotherapy locations in Waterford and Cork, The 4th Practice in Mallow, Sports Medicine Clinics across several cities and counties, a nationwide Concussion Network, and the Global Technology Operation Centre in Kilkenny.

Additional information

This role is at the Cleaboy Business Office, Unit 4. The post is described as a fixed-term contract. The candidate should be comfortable working in a fast-paced setting and contributing to a collaborative service environment.