Revenue Maximiser

2 weeks ago

Melbourne, Victoria, Australia beBeeRevenue Full time $90,000 - $120,000
About the Role

The Billing and Receivables Manager plays a pivotal role in driving revenue maximisation across Health Services. This position entails coordinating end-to-end processes, optimising systems, and ensuring efficient control frameworks.

Key Responsibilities
  • Incorporate Mercy Health values into daily work practices of Health Services Revenue staff.
  • Manage billing and receivable processes, procedures, and systems for the Health Services business unit.
  • Implement changes and enhancements to Health Services' billing and collection processes, procedures, and systems as necessary.
  • Develop and maintain a high-calibre Health Services Revenue team with motivated staff focused on service and low staff turnover.
  • Develop efficient, cost-effective transactional processes focused on business outcomes.
  • Ensure quality and accuracy of work emanating from Health Services Revenue.
  • Manage follow-up and action required for unreconciled items related to Health Services bank and general ledger.
  • Contribute to projects for potential billings and receivables systems.
  • Register Health services departments with relevant portals for billing and receivables purposes.
  • Manage month-end process for billing and receivables sub-systems' revenue.
  • Assess reports used at month-end to ensure they are fit for purpose.
  • Manage billing and collection process for inpatient and outpatient services.
  • Ensure Health Services billing processes meet compliance and statutory reporting obligations.
  • Manage relationships with private health insurance providers for maximum revenue derivation.
  • Identify under-realised and unrealised revenue streams available to Health Services.
Requirements
  • Excellent communication and stakeholder engagement skills.
  • Proven experience in managing billing and receivables operations within Hospital Services.
  • Demonstrated understanding of medical billing processes and health fund claiming requirements.
  • Familiarity with billing across private patients, health funds, workers compensation, third party, and self-funded patients.
  • Experience managing government funding streams, including Aged Care Subsidies, Home Care Packages, Medicare, and DVA billing.
  • Strong negotiation skills and ability to derive best possible result for Mercy.
  • Strong computer skills working with central systems and PC-based applications.
  • Ability to drive process improvement, optimise billing systems, and implement controls that improve accuracy, efficiency, and compliance.
  • Knowledge of current aged care legislation and funding frameworks.

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