Medical Officer / GP

This position involves reviewing clinical information and, when appropriate, composing appeal letters to private health insurers. Staying current with relevant clinical practices and guidelines is essential. A comprehensive understanding of health insurance policies, terms, conditions, and Schedules of Benefits is necessary; training will be provided to the successful candidate.?

Key Responsibilities:

• Review clinical documentation to assess the appropriateness of private health insurance claims.?

• Prepare and submit appeal letters to private health insurers when claims are denied or underpaid.? 

• Maintain up-to-date knowledge of clinical practices and guidelines 

• Understand and apply health insurance policies, terms, conditions, and Schedules of Benefits.?

• Travel to various hospitals across Ireland, spending approximately 30-40% of work time away from home. Efforts will be made to assign hospitals within a commutable distance when possible.?

Candidate Requirements:

• A minimum of 5-7 years’ experience as a General Practitioner or hospital doctor.?

• Registration with the Irish Medical Council and maintenance of Continuing Medical Education (CME) credits.?

• Non-clinical medical indemnity is required; the company will reimburse this expense.? 

• Experience within the Irish healthcare system is highly advantageous.?

• Experience with private health insurance processes is desirable.?

• Proficiency in Microsoft Excel and Word is required.?

• The successful candidate will undergo comprehensive training upon recruitment.

  For a confidential conversation please call Shirley on 086 783 1786