Recoveries Manager

1 week ago

Melbourne, Australia Bupa Full time

Have you always wanted to work for Australia’s largest Health and Care company? As the Recoveries Manager, you will be responsible for leading a team to through identification, investigation, recovery and reconciliation activities towards incorrectly overpaid claims to Bupa Hospital, Medical and Ancillary Providers, Medicare, Customers and, Third-Parties. Thorough understanding and proactive management of Bupa system rules, products, policies, business rules, benefit schedules, contract, bulk billing groups, Practice ID’s and guidelines.

**How will I help?**
- Develop and implement a strategic plan for claims recoveries, which involves identifying potential areas of recovery, setting targets, and outlining operational plans.
- Initiate profiling reviews within an agreed annual work program.
- Maintain detailed records of recoveries efforts and outcomes and provide regular reports to senior management and key stakeholders
- Identify opportunities to streamline claims recovery processes, reduce errors, and enhance efficiency.
- Provide advice on statistical and data reports produced by the Data and Analytics team to determine potential recovery opportunities or areas for process improvement.
- Assist the Head of Claims Integrity with tracking and reduction of recoveries and aged debt.
- Manage and develop a team of Recoveries Officers to execute recovery efforts and manage performance through consistent feedback sessions.
- Develop the team by ensuring personal development plans are formed and continuously tracked for progress.

**What’s in it for me?**

When you work at Bupa, we support your career and your lifestyle. We want to reward and celebrate our people. With a healthy work/life balance, leadership support, reduced private health cover, study leave and a commitment to promoting from within. Health and wellbeing is our top priority and it’s at the heart of everything we do. And we’ll make sure you feel it every day.

**What do I need?**
- Bachelors degree in a related field such as business, healthcare management or similar discipline.
- A minimum of 5-7 years of relevant professional experience in areas such as claims management or recoveries operations.
- Demonstrated experience in leadership or supervisory capacity with a proven track record in successfully leading and managing a team to achieve objectives.
- In-depth knowledge of claims management, recovery processes, and regulations.
- Proficiency in data analysis tools and techniques is valuable including the ability to recognise trends, insights, and patterns using complex data sets and reports.
- Experience in optimising and streamlining processes to enhance efficiency and reduce errors.
- Strong stakeholder management skills and ability to influence people at various levels of the organisation.

**What is it like to work there?
Bupa is an international healthcare group which has been committed to a purpose of helping people live longer, healthier, happier lives and making a better world for more than 70 years.

Bupa Asia Pacific operates in Australia, New Zealand, and Hong Kong, supporting about 6.5 million customers through a broad range of health and care services including health insurance, aged care, dental, medical, optical, and hearing services

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