
Healthcare Claims Specialist
1 week ago
As a valued team member, you will have the opportunity to work in a fast-paced healthcare business that provides essential health services to a growing community.
The Opportunity
This role offers a chance to join our high-performing Patient Billing Team and contribute to delivering excellent patient care. Your key responsibilities will include;
- Review and correction of patient claims to ensure accuracy and efficiency
- Liaising with private health funds and third-party providers regarding unpaid, rejected, and short-paid claims
- Collaboration with internal teams to resolve claim discrepancies and improve processes
- Providing clinical documentation to support claim resubmission and ensuring compliance with regulatory requirements
- Identifying and addressing billing errors and discrepancies
- Collections follow-up for patient accounts and resolving payment issues
- Analyzing aged trial balances and providing insights to management on financial performance
- Escalating complex claims for review and resolution
- Performing ad-hoc duties as required by management
Key Skills & Experience
We are seeking a self-motivated individual with excellent communication skills, who can work autonomously and collaboratively as part of a team. Your skills should include;
- Strong customer service skills and commitment to delivering exceptional patient experiences
- Excellent written and verbal communication skills
- Organizational skills and ability to prioritize tasks effectively
- Knowledge of privacy legislation and regulatory requirements
- Intermediate-level Excel skills and ability to analyze data
What We Offer
This is an exciting opportunity to join a dynamic team and grow your career in healthcare administration. As a valued team member, you will receive;
- Ongoing training and development opportunities
- Supportive work environment and collaborative team dynamics
- Competitive salary and benefits package
- Opportunities for career advancement and professional growth
How to Apply
-
Healthcare Claim Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeClaims Full time $75,000 - $105,000Job Title: Claims AdvisorJob Description:We are seeking a skilled and detail-oriented Claims Advisor to join our team. As a Claims Advisor, you will be responsible for processing health insurance claims in accordance with regulatory requirements. Your primary focus will be on verifying policyholder eligibility and coverage details before claim...
-
Healthcare Claims Professional
1 week ago
Melbourne, Victoria, Australia beBeeClaimsProcessor Full time $84,608 - $108,961Job Description:">">We are seeking a highly skilled Claims Processor to join our team.">The successful candidate will be responsible for ensuring accurate and timely processing of health insurance claims in accordance with Insurance Authority (IA) guidelines.">This role requires strong attention to detail, organizational skills, and effective communication...
-
Healthcare Claims Specialist
1 week ago
Melbourne, Victoria, Australia beBeeCaseManager Full time $60,000 - $90,000About Us:We are a team of dedicated professionals who guide individuals to the best possible health and wellbeing outcomes. We value collaboration and making a positive impact in people's lives, offering opportunities for skills and dedication to truly make a difference.Our Case Manager position offers a fully supportive and structured training programme. If...
-
Healthcare Claim Administrator
2 weeks ago
Melbourne, Victoria, Australia beBeeAdministrator Full time $45,000 - $68,500Patient Accounts Administrators play a vital role in healthcare by ensuring timely follow-up of claims.Key Responsibilities:Following up on unpaid accounts with patients, Medicare, DVA, TAC, WorkCover, and other third-party providersInvestigating and resolving Medicare rejectionsAssisting patients and their families with account-related queries (via phone...
-
Claims Specialist
2 days ago
Melbourne, Victoria, Australia Guild Group Full timeJob Number:493622Work type:Full Time Permanent**Location**:Melbourne (CBD)Categories:ClaimsDo you already have experience as a Claims Specialist and want to work for a trusted, Australian-owned business?Or are you a Domestic Property or General Claims Specialist looking for your opportunity to step up in your career?If you answered "Yes" to either of those,...
-
Claims Management Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeClaimsManagement Full time $90,000 - $120,000Job Title: Claims Management SpecialistThe role of the Claims Management Specialist is to oversee and administer claims, ensuring timely support and accurate entitlements for injured employees through collaboration with HR, Payroll, and external providers. This position reports directly to the Group HR Manager.Key Responsibilities:Deliver efficient and...
-
Long Tail Claims Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeClaims Full time $80,000 - $105,000Long Tail Claims SpecialistWe are seeking a highly skilled Long Tail Claims Specialist to manage workers' compensation claims beyond 78 weeks. The ideal candidate will have strong analytical and reasoning skills, with the ability to plan and organize work effectively.Key ResponsibilitiesEntitlement Review: Assess medical reports, rehabilitation progress, and...
-
Health Insurance Claim Specialist
2 weeks ago
Melbourne, Victoria, Australia beBeeClaims Full time $60,000 - $80,000Job OverviewThe role of Claims Operations Specialist is critical in ensuring the efficient and accurate processing of health insurance claims.Verify policyholder eligibility and coverage details prior to claim adjudication.Respond to customer inquiries regarding Health Care products and benefits across multiple product lines.Communicate effectively with...
-
Healthcare Claims Specialist
7 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $65,000 - $88,000Job OverviewWe guide individuals in achieving optimal health outcomes by working collaboratively as a cohesive team to redefine excellence.Key ResponsibilitiesIdentify claim types, accurately code new claims, and register all new claims within designated timeframesContact employers/workers to verify claim detailsMonitor new claims inboxes and registration...
-
Claims Management Specialist
6 days ago
Melbourne, Victoria, Australia beBeeClaims Full time $100,000 - $140,000**Clinical Claims Specialist Opportunity**We are seeking an experienced claims professional to join our team as a Clinical Claims Manager.This 12-month contract position is available on a part-time basis (0.8 FTE, with consideration for 0.6 FTE).The successful candidate will be based in Melbourne VIC and report directly to the National Director Medico...