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Health Fund Audit and Compliance Officer

  • Canberra, ACT, Australia, 2601
  • Newcastle, NSW, Australia
  • Sydney, NSW, Australia
  • Adelaide, SA, Australia
  • Hobart, TAS, Australia, 7000
  • Launceston, TAS, Australia, 7250
  • Melbourne, VIC, Australia

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  • Permanent
  • Closing on: Nov 6 2024
  • Progress with purpose at one of Australia’s largest health care providers
  • Get ahead with salary packaging, benefits and professional development in a supportive team environment
  • Flexible-Hybrid working arrangements available
  • Permanent Full-time opportunity!
  • Flexible Location

 

About the role

 

This role is a Permanent Full Time position with the opportunity for flexible work arrangements. This position within the Revenue team is responsible for assisting with tasks that relate to ensuring compliance with health fund contract rules across Calvary’s Private hospitals. The position is open to applicants in Canberra, New South Wales, South Australia, Tasmania and Victoria.

 

Your main duties will include:

  • Provide support to Hospitals and the Revenue Fund team with co-ordination and processing of Health Fund audits
  • Undertake internal compliance audits and actioning any outcomes
  • Assist with the management, collation and recording of accurate hospital profile information including, but not limited to: licenses, accreditation, key contacts, service facilities, bed numbers and types.
  • Assist with the development of policies and guidelines that support health fund contract compliance.
  • Provide education to sites based on audit findings to ensure compliance with contract rules.
  • Assist with and provide input into review of health fund audits to assist with the identification of areas of under or overbilling.

 

About you

  • Experience working in administration in a private hospital or health fund. 
  • Experience and knowledge of health fund contract interpretation.
  • Experience within a private hospital or in a health fund assessing or auditing hospital claims.
  • Ability to develop working relationships across multiple levels in the organisation.
  • Ability to work within tight deadlines.
  • Proficient in the use of Microsoft Excel and Word.

For further information please contact Angela Skonis, Health Fund Audit and Compliance Manager on Angela.Skonis@calvarycare.org.au

 

Why work for Calvary?

 

At Calvary, our staff matter. 

 

With over 130 years’ experience and 18,000 staff and volunteers, we offer an inclusive and welcoming culture where you are valued, drawing on your own strengths, identity and background alongside a team of professionals who care for our patients, residents and clients.

 

Your benefits: 

  • NFP salary packaging benefits, discounted health insurance and gym memberships 
  • Paid parental leave 
  • Training, development pathways and career opportunities
  • Flexible hours that make sense for you

As we serve the community across Home, Virtual and Residential Aged Care, Retirement Living and Hospitals, one thing sets us apart. Care from the heart. If this sounds like you, apply for a role with Calvary today.

 

Please note the following:

  • As part of the application process, you will be required to complete pre-employment checks which may include, but is not limited to reference checks, work rights, criminal history check, NDIS/WWCC/WWVP checks, and a health evaluation to ensure suitability for the role

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