Medical Claims Specialist

2 weeks ago

Sydney, New South Wales, Australia beBeeClaim Full time $80,000 - $120,000

The Medical Claims Officer role is a vital part of our organization's operations. It requires a high degree of accuracy and attention to detail in assessing member claims, understanding fund policies and procedures, and providing accurate information to internal and external stakeholders and providers.

To be successful in this position, you must display exceptional organizational skills and a thorough understanding of HPPA contracts and terms. The ability to work efficiently within contract terms is also essential.

Key responsibilities include:

  • Assessing member claims and making informed decisions
  • Providing accurate information to internal and external stakeholders and providers
  • Maintaining up-to-date knowledge of fund policies and procedures

Beyond the technical requirements, this role demands strong communication and interpersonal skills. You will work closely with various teams, including members, healthcare providers, and other stakeholders. Effective collaboration and conflict resolution are crucial in ensuring the smooth operation of our organization.

Benefits:
  • A comprehensive benefits package that includes health insurance, retirement planning, and paid time off
  • Opportunities for professional growth and development through training and education programs
  • A dynamic and supportive work environment that fosters teamwork and collaboration

We seek a highly skilled and motivated individual who is passionate about delivering exceptional service and results. If you are looking for a challenging and rewarding career opportunity, we encourage you to apply for this position.

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