Health Fund Compliance Specialist

4 weeks ago


Canberra, ACT, Australia Calvary Care Full time
About the Role

This is a Permanent Full Time position within the Revenue team at Calvary Care, responsible for ensuring compliance with health fund contract rules across our Private hospitals. The successful candidate will have experience working in administration in a private hospital or health fund, with knowledge of health fund contract interpretation.

Key Responsibilities
  • 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
  • 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
  • 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
Why Work for Calvary?

At Calvary, our staff matter. 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 include NFP salary packaging benefits, discounted health insurance and gym memberships, paid parental leave, training, development pathways and career opportunities, and flexible hours that make sense for you.



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