Revenue Optimisation Officer

About the Team
Private Practice team are responsible for all billing against doctor provider numbers for patients who have been seen privately in outpatients (bulk-billed to Medicare) or as inpatients (invoiced to private health insurance). They are also responsible for identification of billing opportunities through reviewing insured patient records.
About the Role
Ensure compliance of all relevant legislation, policies and procedures within a financial environment. Such as the Financial Management Practice Manual (FMPM);
Demonstrate knowledge, or ability to acquire knowledge, of recognised policies, procedures and legislative requirements relating to Private Practice arrangements and billing compliance including the Rights of Private Practice and Medicare Benefits Schedule;
Demonstrate knowledge and experience of revenue and corporate patient information and billing systems such as MediRecords, HBCIS, ieMR, and ESM;
Ensure high standard of service is provided to all clients internal and external within acceptable timeframes as required in a confidential manner;
Liaise with patients and their representatives, referring doctors, Health Insurance Commission (HIC), health insurance funds, Work Cover and any person to whom or from whom service is provided or received, ensuring we provide the best service possible to our patients and their support people.
Ensure day to day decision making and problem-solving techniques are applied to matters arising from daily billing activities and are focused upon achieving quality outcomes in accordance with HIC and Queensland Health guidelines.
Assist in the development, implementation, review and maintenance of internal systems, processes and work practices providing feedback on recommendations for improvements to the Team Leader - Private Practice Revenue;
Prioritise workloads utilising time management principles to meet deadlines with high standards and attention to detail;
Ensure patients and other staff are treated fairly and with mutual respect and understanding, regardless of cultural, religious, ethnic and linguistic backgrounds;
About Children's Health Queensland Hospital and Health Service (CHQ HHS)
Children's Health Queensland is a recognised leader in paediatric healthcare, teaching and research, delivering a full range of clinical services and training, tertiary and quaternary care and health promotion programs to children and young people from across Queensland and northern New South Wales.
Our interprofessional workforce of more than 5,000 people deliver responsive, integrated and internationally recognised person-centred care through a network of services and facilities, including the Queensland Children's Hospital, Jacaranda Place, Ellen Barron Family Centre, our Child and Youth Community Health Service, our Child and Youth Mental Health Service, and other statewide services and programs including specialist outreach and telehealth services.
Inclusion and diversity
To encourage inclusive practices in recruitment, we are committed to increasing our Aboriginal and Torres Strait Islander Health Workforce and building inclusive cultures that respect and promote human rights and Workforce Diversity and Inclusion. CHQ is an equal opportunity employer.
Some of the great benefits of working at CHQ HSS
If you're looking for a rewarding career, and you're excited to contribute to the development of Australia's best paediatric health service, come and join the team at CHQ and enjoy a range of benefits including:
Opportunities for professional growth and development
Competitive renumeration
Annual pay increases
12.75% employer superannuation contribution
17.5% annual leave loading
Salary packaging
Employee wellness and assistance program
Work/life balance, variety, and flexibility
You can find out more about why it's so great to work at CHQ HHS here.This work is licensed under a Creative Commons Attribution 3.0 Australia License.