Medical Claims Specialist
1 week ago
We are seeking a highly skilled Medical Claims Assessor to join our team at Teachers Health. As a Medical Claims Assessor, you will be responsible for assessing medical claims in a prompt, accurate, and efficient manner. You will provide advice and assistance to health service providers on benefits and conditions of the fund.
Key Responsibilities- Maintain a high standard of claims assessment through accurate, efficient, and timely processing of medical claims.
- Provide advice and assistance to health service providers in relation to benefits and conditions of the fund.
- Contribute to the effective operations of the Health Insurance Business Unit.
- Accurate assessment of simplified billing claims through the verification process and ECLIPSE system.
- Prepare, review, and complete medical claims through the verification process and ECLIPSE system.
- Compliance with relevant legislation, including the Federal and State Acts.
- Correspond with providers via email, telephone, or hard copy mail.
- Previous claims experience is highly desirable but not essential.
- Experience in PHI is highly desirable but not essential.
- Experience working in the medical industry would be advantageous.
- Previous HAMBS experience would be highly regarded.
- Data entry experience would be highly regarded.
- A positive can-do attitude is a MUST.
- 6 weeks of annual leave.
- Hybrid working model.
- Subsidised private health insurance and discounts on our products and services.
- 35 hour working week.
- Fantastic central location in Surry Hills.
- Employee well-being program.
- An annual corporate wardrobe allowance.
- 18 weeks paid parental leave for eligible employees.
- Additional long service leave.
Teachers Health was created by teachers for teachers over 65 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 400,000 teachers, education staff, and their families.
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