Current jobs related to Clinical Claims Auditor - Melbourne, Victoria - Healthscope
-
Clinical Claims Auditor
4 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityWe are expanding our Healthscope National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support our various 38 Healthscope sites.About YouWe seek an experienced Registered Nurse with 5 years senior clinical experience in acute care hospitals within the private...
-
Clinical Claims Auditor
4 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityWe are expanding our Healthscope National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support our various 38 Healthscope sites.About YouWe seek an experienced Registered Nurse with 5 years senior clinical experience in acute care hospitals within the private...
-
Clinical Coding Auditor
3 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob Title: Clinical Coding AuditorWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key Responsibilities:Conduct regular onsite and desktop provider audits to ensure compliance...
-
Clinical Coding Auditor
3 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob Title: Clinical Coding AuditorWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key Responsibilities:Conduct regular onsite and desktop provider audits to ensure compliance...
-
Clinical Coding Auditor
1 month ago
Melbourne, Victoria, Australia Bupa Full timeJob Title: Clinical Coding AuditorWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key Responsibilities:Conduct regular onsite and desktop provider audits to identify areas of...
-
Clinical Coding Auditor
2 weeks ago
Melbourne, Victoria, Australia Bupa Full timeJob SummaryWe are seeking a seasoned Clinical Coding Auditor to join our team at Bupa. As a Clinical Coding Auditor, you will play a critical role in ensuring hospital claiming compliance by conducting onsite and desktop clinical coding reviews.Key ResponsibilitiesConduct regular onsite and desktop provider audits to ensure compliance with coding and billing...
-
Clinical Claims Auditor
3 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityWe are expanding our Healthscope National PHI Audit, Revenue Optimisation and Integrity team, and we're looking for a skilled Registered Nurse to join our Clinical Claims Audit Team.About the RoleThis is an exciting opportunity to grow a career beyond clinical operations and expand knowledge and experience within complex private funding...
-
Clinical Claims Auditor Position
4 days ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityHealthscope is expanding its National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model and interstate travel.About YouA Registered Nurse with 5 years senior clinical experience in acute care hospitals is sought for the Clinical Claims Audit Team. A background in theatre or cardiac catheterization laboratory...
-
Clinical Claims Auditor
2 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityWe are seeking an experienced Registered Nurse to join our Clinical Claims Audit Team at Healthscope.The successful candidate will have 5 years of senior clinical experience in acute care hospitals within the private sector.A background in theatre or cardiac catheterization laboratory nursing, as well as leadership experience, would be highly...
-
Clinical Claims Auditor
2 weeks ago
Melbourne, Victoria, Australia Healthscope Full timeThe OpportunityHealthscope is expanding its National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support various sites.About the RoleWe seek an experienced Registered Nurse with 5 years senior clinical experience in acute care hospitals within the private sector. A...
-
Hospital Claims Manager
2 weeks ago
Melbourne, Victoria, Australia Dental Corporation Full timeJob Title: Hospital Claims ManagerAs a Hospital Claims Manager, you will be responsible for managing the identification, mitigation, elimination, and management of claim inaccuracy and leakage in hospital and medical claims. You will lead a team of auditors and work closely with prosthesis integrity, hospital, and medical contracting teams to ensure maximum...
-
Hospital Claims Manager
4 weeks ago
Melbourne, Victoria, Australia Dental Corporation Full timeJob Title: Hospital Claims ManagerAs a Hospital Claims Manager at Dental Corporation, you will play a critical role in preventing leakage through the reduction of fraud, waste, abuse, and error of hospital and medical claims. You will be responsible for managing the identification, mitigation, elimination, and management of claim inaccuracy and leakage.Key...
-
Scope Auditor
2 weeks ago
Melbourne, Victoria, Australia Tideri Jobbörse Full timeJob Title: Scope AuditorAt Tideri Jobbörse, we are seeking an experienced Scope Auditor to join our Technical Scope Audit (TSA) team. As a key member of our team, you will be responsible for reviewing specialist reports, photos, and statements of work sent from trades/supervisors. You will also liaise with supervisors, trades, claims managers, and assessors...
-
Hospital Claims Manager
2 weeks ago
Melbourne, Victoria, Australia Dental Corporation Full timeHospital Claims Manager Job DescriptionAs a Hospital Claims Manager at Dental Corporation, you will play a critical role in preventing leakage through the reduction of fraud, waste, abuse, and error of hospital and medical claims. You will be responsible for managing the identification, mitigation, elimination, and management of claim inaccuracy and leakage....
-
Hospital Claims Manager
2 weeks ago
Melbourne, Victoria, Australia Dental Corporation Full timeJob DescriptionRole SummaryThe Hospital Claims Manager will be responsible for managing the identification, mitigation, elimination, and management of claim inaccuracy and leakage in hospital and medical claims. This role demands a strong leader in the field of Private Health Insurance or from a Hospital Setting who has demonstrated the ability to take...
-
Hospitals Manager
5 days ago
Melbourne, Victoria, Australia Dental Corporation Full timeHospital and Medical Claims Manager Job DescriptionAbout the RoleWe are seeking a highly skilled and experienced Hospital and Medical Claims Manager to join our team at Dental Corporation. As a key member of our claims management team, you will be responsible for managing the identification, mitigation, elimination, and management of claim inaccuracy and...
-
Senior Claims Specialist
4 weeks ago
Melbourne, Victoria, Australia MARS Recruitment Full timeMARS Recruitment is seeking an experienced claims management professional to lead case management and drive positive outcomes for injured workers within a global claims services provider. Located in Melbourne CBD with a hybrid working arrangement, this role offers a unique opportunity to develop and implement strategic case management approaches to drive...
-
Clinical Advisor
1 month ago
Melbourne, Victoria, Australia EML (Employers Mutual Limited) Full timeAbout the RoleWe are seeking a highly skilled Clinical Advisor to join our team at EML. As a Clinical Advisor, you will play a critical role in providing strategic support and guidance to our claims team, utilizing your strong injury management experience to make a positive impact on someone's life every day.Key ResponsibilitiesAssess surgery and treatment...
-
Clinical Advisor
4 weeks ago
Melbourne, Victoria, Australia EML (Employers Mutual Limited) Full timeAbout the RoleWe are seeking a highly skilled Clinical Advisor to join our team at EML (Employers Mutual Limited). As a Clinical Advisor, you will play a critical role in providing strategic support and guidance to our claims team, utilizing your strong injury management experience to make a positive impact on someone's life every day.Key...
-
Clinical Advisor
4 weeks ago
Melbourne, Victoria, Australia EML (Employers Mutual Limited) Full timeAbout the RoleWe are seeking a highly skilled Clinical Advisor to join our team at EML (Employers Mutual Limited). As a Clinical Advisor, you will play a critical role in providing strategic support and guidance to our claims team, helping to ensure that our customers receive the best possible outcomes.Key ResponsibilitiesAssess surgery and treatment...
Clinical Claims Auditor
2 months ago
The Opportunity
Healthscope is expanding its National PHI Audit, Revenue Optimisation and Integrity team, offering a hybrid working model with interstate and local travel required to support various sites.
About You
We are seeking an experienced Registered Nurse to join our Clinical Claims Audit Team. The successful candidate will have 5 years of senior clinical experience in acute care hospitals within the private sector.
Key Responsibilities
• Conduct thorough clinical claims audits to ensure accuracy and compliance with regulations
• Collaborate with cross-functional teams to identify and implement process improvements
• Develop and maintain strong relationships with healthcare providers and stakeholders
Requirements
• 5 years of senior clinical experience in acute care hospitals within the private sector
• Strong leadership experience and ability to work autonomously
• Excellent communication and interpersonal skills
