Medical Claims Assessor

3 days ago

Sydney, New South Wales, Australia Teachers Health Fund Full time $89,544 per year

We're looking for multiple Medical Claims Assessor's to join our friendly, supportive and growing team

In this role, you'll assess medical claims — including simplified billing and access gap claims — ensuring they're processed accurately and efficiently. You'll also provide clear, helpful advice to medical providers on claims and benefits.

You'll be part of a welcoming team with a positive culture and a team leader who's genuinely supportive. If you're detail-focused, enjoy problem-solving, and want to make a difference in healthcare, we'd love to hear from you

What we have to offer?

We at Teachers Health have a lot to offer,

  • Attractive leave benefits
  • Hybrid working model (flex your work/life balance)
  • Subsidised private health insurance
  • Discounts on our products and services
  • Generous employee wellbeing program
  • Easily accessible by public transport

Who are we?

Teachers Health was created by teachers for teachers over 70 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 500,000 teachers, education staff & their families.

What will you do?Some of your main tasks and responsibilities will be;

  • Maintain a high standard of claims assessment through accurate, efficient and timely processing of medical claims.
  • Provide advice and assistance to health service providers in relation to benefits and conditions of the fund.
  • Contribute to the effective operations of the Health Insurance Business Unit
  • Accurate assessment of simplified billing claims through the verification process and ECLIPSE system
  • Compliance with relevant legislation, including the Federal and State Acts
  • Correspond with providers via e-mail, telephone or hard copy mail

What do you need? /What are we looking for?

  • Previous claims experience is highly desirable but not essential
  • Experience in PHI is highly desirable but not essential
  • Experience working in the medical industrious would be advantageous
  • Ability to maintain concentration and attention to detail while managing repetitive or high-volume workloads
  • Previous HAMBS experience would be highly regarded
  • Data entry experience would be highly regarded
  • A positive can do attitude is a MUST
  • We require you to be either a Permanent Resident or an Australian Citizen 

The salary package for this role is $89,544

How do I apply?

Click APPLY NOW to submit your updated CV, along with an optional cover letter or a 60-second introduction video sharing why you'd be a great fit for the role.

Due to the high number of applicants, only shortlisted applicants will be contacted. 

Teachers Health values diversity and inclusion and encourages applications from people with diverse backgrounds including First Nations people, people with disability, people from diverse cultural and linguistic backgrounds, and people that identify as LGBTQIA+. Applicants can request an adjustment at any stage during the recruitment process by getting in touch with

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