Health Fund Compliance Specialist

6 days ago


Canberra, ACT, Australia Calvary Care Full time

About the Role

This is a Permanent Full-time opportunity in the Revenue team at Calvary Care, one of Australia's largest healthcare providers.

The successful candidate will be responsible for assisting with tasks related to ensuring compliance with health fund contract rules across Calvary's Private hospitals.

This role is open to applicants in various locations.

Main Duties

  • Provide support to Hospitals and the Revenue Fund team with the coordination and processing of Health Fund audits.
  • Undertake internal compliance audits and action any outcomes.
  • Assist with the management, collation, and recording of accurate hospital profile information.
  • Assist with the development of policies and guidelines that support health fund contract compliance.
  • Provide education to sites based on audit findings to ensure compliance with contract rules.
  • Assist with and provide input into the review of health fund audits to assist with the identification of areas of under or overbilling.

About You

  • Experience working in administration in a private hospital or healthcare fund.
  • Experience and knowledge of health fund contract interpretation.
  • Ability to develop working relationships across multiple levels in the organisation.
  • Ability to work within tight deadlines.
  • Proficient in the use of Microsoft Excel and Word.

Your Benefits

  • NFP salary packaging benefits and discounted health insurance.
  • Paid parental leave.
  • Training, development pathways, and career opportunities.
  • Flexible hours that make sense for you.


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