Matthew Cox Email & Phone Number

Royal Tunbridge Wells, Kent, United Kingdom

In my role as a Hospital Relationship Manager I am accountable for initiating and developing effective provider relationships, negotiating robust contracts and tariffs, ensuring that the quality of services provided meets the expectations of both ourselves and our members and maintaining effective cost controls across all of AXA PPP healthcare’s hospital networks.I am also passionate about working directly with our clients to develop ‘bespoke benefits’ that can help create a more inclusive culture. For example, gender affirming treatment for staff with Gender Dysphoria, assisted conception and fertility treatment, menopause care and neurodiversity support.Key Technical Responsibilities:* Contract negotiation & management* Identifying and managing initiatives that are clinically evidenced to improve the member pathway and impact the total claims costs.* Supporting the strategic positioning for Hospital contracting, identifying and acting upon opportunities for greater value-orientation.Key Management Responsibilities:* Leading and developing an Account Management team responsible for several national providers and large NHS Trusts.* Mentoring and coaching staff across a range of levels - administrative thru management.* CPD, validation / re-validation of Registered clinical staff.

Tunbridge Wells

Tunbridge Wells

In my role as the Specialist Fees and Coding Manager I was responsible for a team of Specialist Fees Advisors and Nurse Advisors who were responsible for managing the entire portfolio of Specialists recognised by AXA PPP healthcare.Key Technical Responsibilities:Clinical coding with the Clinical Classification and Schedule Development Group (CCSD) Specialist contractingComplex surgery review and upliftsManagement and coverage of the AXA PPP healthcare Preferred Specialist listMedical Policy ReviewKey Management Responsibilities:Development and Performance ManagementResourcing and RecruitingCPD for registered nurses

Tunbridge Wells

As a Specialist Audit and Fees Advisor I am responsible for a range of projects and audits relating to our Private Medical Specialist portfolio. I am responsible for analysing and challenging billing from private medical specialists that does not comply with the prescribed billing principles or fees, providing advice and guidance to specialists on how they can modify their practice to ensure compliance in future.I am responsible for supporting the team and wider department with clinical queries and handling escalated cases. Often with these cases I work closely with third parties including the Chief Medical Officer or his Deputy and the research nurses. I support the team with complex procedure pricing for cases where the industry standard coding system does not provide an accurate or adequate description and reimbursement. In cases where we regularly encounter complex procedures I will build a case and refer it to the Clinical Classification and Schedule Development Group (CCSD) for consideration of a new code. I have successfully introduced several new codes to the industry via this method.

Brize Norton, Oxfordshire, United Kingdom

I was an RAF Medic serving with 4626 Sqn Royal Auxiliary Air Force. My role involved attending regular training to maintain my readiness to deploy in support of regular military units involved in conflicts across the world. My skills included patient handling and care on the ground both pre and post-flight and managing patients during the flight on a range of aircraft and conditions. Clinically the majority of our cases were orthopaedic and trauma from both battlefield and non-battlefield causes although I was trained to deal with the whole spectrum of medical and surgical conditions.This role required a high level of fitness to cope with the demands of long shifts, challenging manual handling situations and the inherent demanding physical situations the military encounter. Clinical training was provided within each individual’s confidence and competence and often resulted in civilian recognised qualifications/certification.Involvement in the military ensured that I maintained high levels of presentation, punctuality and communication skills which are instilled in my day to day life since leaving.I undertook a successful operational tour of Afghanistan in 2013. I was one of 5 RAF flight Medics based at Bastion Role 3 hospital and worked alongside 5 RAF Flight Nurses to ensure safe and efficient patient transfers in often testing situations.