Fee Governance Lead

About Medserv:

Medserv, an Irish company, has quickly established itself as the market leader in providing Medical billing and Practice management services throughout Ireland and the UK. Our clients include individual and group consultants, GP practices as well as private clinics and hospitals. Inspired by our values of Always innovating, Being Trustworthy, Collaborating positively and Delivering results, Medserv strives to ensure on-going client satisfaction by combining our innovative technology solutions with highly skilled teams.

This role is permanent and open to all Medserv Office Locations.

Role Overview:

The Fee Governance Lead is responsible for the accuracy, integrity and timeliness of all fees and pricing held within the Medserv systems. They act as the business owner for the end-to-end fee management lifecycle, ensuring fee schedules from clients, insurers and automated scrapers are validated, updated, and maintained. The role underpins Medserv’s billing accuracy, revenue assurance, and operational efficiency across the UK and Ireland. 

Duties and Responsibilities:

• Own and maintain all fees and pricing rules (including clinical indicators (IRL) and diagnostic codes (UK) held within ProcCode 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 and Skills:

• Strong knowledge of monitoring and reconciling fees, prices & client data
• Extensive experience of a medical billing system would be advantageous
  
• Ability to communicate and collaborate with multiple teams effectively
• An analytical approach
  
• Advanced Excel skills. 

Package and Benefits:

• Salary £36,000 - £38,000 per annum
  
• This role is open to all Medserv office locations.
• 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

Additional Info:

• This is a permanent full-time position with the option for Hybrid working.
  
• All offers of employment are subject to a valid work permit.
  
• Role commences immediately.