Specialist Billings Officer

4 days ago

Melbourne, Australia Avant Full time

Avant is Australia’s largest doctor-owned mutual, we see the ever-increasing complexities our members face in running a successful practice every day.
In response to these growing demands, we have developed an extensive suite of tailored products and services that all work together to make running a practice easier, safer and more efficient. We believe that by supporting our members and their practices in this way, they can focus more on what they do best - delivering excellence in healthcare.
Avant Practice Solutions deliver a holistic proposition to support and enable medical practices with a combination of technology, practice management, and virtual administration services. This approach is expected to deliver our next chapter of growth, as we expand our value proposition and the quality support we provide medical practices in Australia.
**About the role**:
The Specialist Billings Officer is responsible for overseeing the daily operations of the Avant Practice Solutions medical billing services, ensuring timely and accurate processing of Medicare, health fund, and private billing.
The role involves managing the onboarding of new providers, providing expert advice, and ensuring compliance with all regulatory and contractual obligations. This is a key customer-facing role requiring a high level of accuracy, stakeholder communication, and service excellence.
This is a permanent full time opportunity, based in Melbourne.
**Key responsibilities**:
Billing Operations & Claims Management
- Supervise the preparation, submission, and reconciliation of medical claims (Medicare, DVA, WorkCover, private insurers).
- Monitor claim cycles and ensure timely follow-up on unpaid or rejected claims.
- Resolve complex billing queries or discrepancies escalated by staff or clients.

Compliance & Process Improvement
- Ensure adherence to Medicare and private health fund regulations
- Maintain up-to-date knowledge of changes to billing codes, rules, and legislation.
- Identify opportunities to streamline billing processes and implement efficiency improvements.

Stakeholder Engagement
- Serve as a primary point of contact for high-value clients and practitioners.
- Collaborate with internal teams (e.g., finance, legal, technology) to address client and system-related billing concerns.
- Prepare reports and insights for internal and external stakeholders on billing performance and trends.
- Manage the onboarding of new providers.

**Skills and experience required**:
Essential
- Minimum 5 years' experience in medical billing.
- Strong understanding of Medicare Benefits Schedule (MBS), DVA, WorkCover, and health fund billing rules.
- High attention to detail with strong numerical and analytical skills.
- Excellent communication and interpersonal skills.
- Proficient in medical practice software (e.g., Genie, Best Practice, Zedmed) and Microsoft Office Suite.

Desirable
- Previous experience in a billing services company or group practice setting.
- Familiarity with digital claim submission platforms (e.g. Medicare Online, ECLIPSE).
- Qualification in Health Administration, Business, or similar field.

We offer a range of benefits and opportunities to enable you to make a difference, learn and grow in your career.
For further information, please contact Sue Allen, Talent Acquisition Business Partner on 0429 404 856.

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