Clinical Claims Auditor
2 days ago
About 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 clinical claims audits to ensure compliance with private funding models.
- Collaborate with colleagues and leadership to drive revenue optimisation and integrity.
- Develop and implement solutions to complex clinical claims issues.
Requirements
- 5 years of senior clinical experience in acute care hospitals within the private sector.
- Background in theatre or cardiac catheterization laboratory nursing.
- Leadership experience and a dynamic, solutions-focused approach.
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