Private Health Insurance Audit Coordinator

2 weeks ago

South Brisbane, Australia Mater Health Full time

Job no: 497420

Work type:
Permanent

Location:
South Brisbane

Categories:
Finance

About the role


Mater Group is currently seeking an experienced
Private Health Insurance (PHI) Audit Coordinator to join our Group Finance team on a permanent full-time basis.

The PHI Audit co-ordinator actions, either through review or co-ordination Private Health Fund billing audits.

The PHI Audit co-ordinator also, based on health fund audit learnings, identifies practices requiring quality improvement and areas where the delivery of education and process re-engineering would benefit Mater.

This is a career defining opportunity to join a market leader in healthcare and a proudly values led organisation.

Salary range:
$ $43.90 (MCAS level 4)

What you'll be doing (but not limited to)

  • Review all health fund billing audits received by all Mater Private Hospitals
  • Work closely with the PHI Audit Manager to determine if the recommendation for an audit episode is to agree/disagree with the health fund
  • Liaise and coordinate with relevant internal teams including Coding, Revenue Assurance, Billing and Privacy to obtain additional information required to perform the audit
  • Prepare the health fund refund request on completion of an audit and provide to the Manager PHI Audit and the Finance Operations Manager for approval
  • Liaise with accounts payable and billing team to ensure refunds as agreed are processed and updated in the billing system

About you
To be successful, you will have demonstrated success in a similar role in a large and complex organisation coupled with the below:

  • At least 3+ years' experience in a private healthcare billing department or experience in PHI contract management.
  • Demonstrated experience in managing and reviewing Health Fund billing queries
  • Experience in interpreting Health Fund contractual obligations and associated billing rules
To learn more please view the position description PHI auidt co-or

Why join us?


Joining a 10,000+ strong workforce, you will have the opportunity to work for an Australian leader in the field of Health, Education, Research and Foundation, and work with a team who make a real difference to the lives of our patients, consumers and community.

You will be a part of a workplace that offers compassionate care in the spirit of the Sisters of Mercy.


  • Via salary packaging arrangements allocate some living expenses directly from your pretaxable income and ultimately increasing takehome pay
  • Access to package meal and entertainment expenses
  • Access to leading education via Mater Education
  • Access to our Employee Assistance Program and onsite pastoral care teams
  • Discounts to local and national business and venues for Dining/Retail/Travel & Accommodation and Other
  • Access to onsite, discounted parking
  • Discounted food and beverage at various campus cafés and coffee venues

Advertised: 11 Jan 2023 E. Australia Standard Time

Applications close: 25 Jan 2023 E. Australia Standard Time

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