Medical Claims Specialist

1 week ago


Sydney, New South Wales, Australia Teachers Health Full time
{"title": "Medical Claims Assessor", "description": "Job Summary

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.
Requirements
  • 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.
What We Offer
  • 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.
About Us

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.

", "lang_code": "en-US"}

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