Revenue Assurance Manager

Revenue Assurance Manager

**Job reference**: #12590**Brand**:Healius Pathology**Location**: Sydney**Work type**: Full Time (Permanent)**About us**
- Healius Pathology is part of Healius Limited, one of Australia's leading healthcare companies, Healius is synonymous with quality, affordable and accessible healthcare for all Australians. It has an expansive network of pathology laboratories, collection centres and diagnostic imaging centres. Through this footprint and its 10,500+ people, Healius provides specialty diagnostic services to consumers and their referring practitioners. Healius provides quality healthcare services that are easily accessible and cost efficient, while supporting the coordination and continuity of quality patient care.**Why You Will Be Excited About This Role**
- At Healius, we all have one thing in common, we are passionate about making a difference to the health of Australians.- And right now, it’s a pretty exciting time to join us, as we transform into a stronger, more agile organisation focused on creating smarter ways of working and the continuous development of making Healius a great place to work.- In this newly created Revenue Assurance Manager role, you will be championing this vision and strategic direction of Healius as you use your curious nature and results orientated approach to maximise Pathology revenue, improve billing solutions as well as managing a small team.- Your role will make a real impact on wider business operations as you help to increase revenue and improve cashflow turnover as well as having the opportunity to assist in the design, build & delivery of a new Laboratory Information System.- You will gain job satisfaction as well as the experience of working in transformation, as you use your knowledge of pathology combined with your problem-solving and excellent stakeholder management skills to create business recommendations & process improvements, and join our mission to be the best pathology provider in Australia.**Why You Will Like Working Here**
- You will be working in a high performing team, with leaders who are transparent, driven and who want to share their knowledge.- You will have autonomy with your working location, working from our head office in Sydney’s CBD to collaborate with different teams, as well as working from home.**About Us**
- Healius employs 10,000+ passionate people, with an expansive network of over 100 medical laboratories and 2000 patient collection centres operating across metropolitan, regional and remote Australia.- We provide 1 in every 3 pathology services in Australia, extending from exclusively servicing some of Australia’s largest and most complex private and public hospitals, to small Indigenous Australian communities.- This means that you will be working with purpose whilst being a part of a business big enough to offer interstate mobility, job security and opportunities to fulfill your career ambitions.**What You Will Be Doing**
- As Revenue Assurance Manager, you will be a part of the Revenue Assurance Team, responsible for maximising Pathology revenue and ensuring that it is billed in accordance with contractual agreements and compliant with Commonwealth legislation for Medicare and Health Fund billing.- You will be using your advanced experience to manage the Revenue Assurance Specialist as well as lead documentation.- You will be reporting to the Head of Revenue Assurance and will work closely with Commercial, Operational, Clinical, Digital, IT, Data & Analytics and Finance teams to improve billing solution catered to the needs of our end customers while maximising Pathology’s revenue.- You will be communicating with people at all levels including corporate, public hospitals and labs.**Your key responsibilities will include**:

- Identify and perform both high volume and complex/high risk billing scenarios to ensure revenue is maximised within relevant guidelines.
- Lead, review and respond to external audits from Medicare, Private Health Insurers, and other payor groups.
- Report on audit findings and correct revenue issues arising from audit findings.
- Monitor Xtend, Suspend and claiming errors for revenue leakage and identify trends. Create solutions.
- Identify opportunities for revenue standardisation across different billing systems.
- Support the design, build and implementation on the new billing module within Healius Pathology’s LIS transformation project.
- Work with Data & Analytics and IT teams to improve existing and develop new reports to facilitate improved revenue assurance work.
- Manage a small, high performing team.
- Create and maintain billing reference documentation for use by departments such as Accounts Receivable, Customer Service, Collections and Master Data. Provide ongoing training as required.

**What Type of Person Will Be Successful**
- To be successful in this role, you will be highly experienced in Accounts Receivables and/or Revenue Assurance/Audit roles and will have