Billing & Receivable Manager - Health Services

Employment Type: Permanent Full Time

Location: Mercy Health Richmond Office

Upload with Application: Resume, cover letter, and all relevant qualifications

Where there's life, there's Mercy.

Where there's care, there's You.

Through the battles and the breakthroughs, we're there. Where will you be?

For over a century, our incredible teams have provided care for people when they need it most. Our people feel great pride in this, and they value the security and stability we offer. But it also means so much opportunity - to build on all that's gone before, to grow your impact and gain experience that's hard to find elsewhere.

As a for-purpose organisation with over 10,000 dedicated, compassionate people, we continue to offer more services and deeper care than ever before. With Mercy, you'll have the chance to make an impact and gain experience that's hard to find elsewhere.

At Mercy Health, it's all about taking what we have and making it better.

To do that, we need you.

Join us at Mercy Health, and help our teams deliver even greater outcomes.

About the opportunity

The Billing and Receivables Manager co-ordinates and streamlines the end-to-end processes of revenue raising and revenue maximisation across Health Services, with the aim of optimising systems and processes both within service areas and across all billing, collection and other revenue-related systems. This also involves identifying and implementing best practice for revenue cycle improvements and ensuring that an efficient cost-effective control framework is in place for the whole revenue cycle.

• Ensure the values of Mercy Health are incorporated into daily work practices of Health Services Revenue staff.
• Proactive management of the billing and receivable processes, procedures and systems for the Health Services business unit.
• Implement and manage changes / enhancements to Health Services' billing and collection processes, procedures and systems as necessary.
• Develop and maintain a high caliber Health Services Revenue team with people who are motivated and focused on service and with low levels of staff turnover.
• Develop and maintain efficient, cost-effective transactional processes that are focused on business outcomes.
• Develop and maintain the quality and accuracy of work emanating from Health Services Revenue
• Manage the follow-up and action required for all Health Services bank and general ledger related unreconciled items.
• Proactively contribute to projects for all potential billings and receivables systems (including all relevant data source systems).
• Register Health services departments with Health fund and Government body portals (TAC) for Billing and receivables purposes.
• Manage the month end process for billing and receivables sub-systems' revenue.
• Provide ongoing assessment of reports used at month end ensuring they are fit for purpose and deliver the required information and outcomes.
• Manage the billing and collection process for relevant inpatient and outpatient services.
• Ensure Health Services billing processes and procedures meet all relevant compliance and statutory reporting obligations.
• Management of relationships with private health insurance providers to ensure maximum revenue derivation from private patients.
• Management of non-patient related revenue streams, including education, car-parking, aids & appliances, rental and provision of services to external parties.
• Identification of under-realised and unrealised revenue streams available to Health Services, with annual reporting on streams identified and revenue realised.
• Liaison with peers in the Revenue Management space across Victorian public health services to stay abreast of developments, challenges and opportunities for new and existing revenue streams.

What you'll bring

• Excellent communication and stakeholder engagement skills, with the ability to liaise effectively with clients, government agencies, internal teams, and executive leadership.
• Proven experience in managing billing and receivables operations within the Hospital Services.
• Demonstrated understanding of medical billing processes and health fund claiming requirements
• Familiarity with billing across private patients, health funds, workers compensation, third party, and self-funded patients.
• Experience managing government funding streams, including Aged Care Subsidies, Home Care Packages, Medicare, and DVA billing, as well as private billing and client contributions.
• High level of negotiation skills and the ability to derive the best possible result for Mercy.
• Strong computer skills working with central systems and PC based applications.
• Proven ability to drive process improvement, optimise billing systems, and implement controls that improve accuracy, efficiency, and compliance.
• Provides ongoing feedback and identify and address areas of performance development.
• Strong knowledge of current aged care legislation and funding frameworks, including the Aged Care Act 1997, Home Care Packages Program Guidelines, Medicare Benefits Schedule (MBS), ANACC, NDIS and the Private Health Insurance Act 2007.
• Demonstrated understanding of the upcoming new Aged Care Act (effective 1 July) and the transition to the Support at Home program, with the ability to adapt internal processes accordingly.

You will also be required to provide evidence of, or in the process of obtaining:

• A current Police Record Check

Ready to help us shape the future of healthcare?

Join us and make a meaningful difference in people's lives - and your career.

Are you ready to apply for this role? Click Apply now

Please contact us if you would like to find out more or communicate any requirements to ensure we provide you with a fair and equitable interview and selection process.

We acknowledge the Wurundjeri Woi-wurrung peoples, traditional Custodians of the Land in which our Head Office is based, on traditional lands of the Kulin Nation and recognise their deep connections to the land, sea, and culture.

We extend this acknowledgment to the many Traditional Lands that we operate across Australia and pay our respects to Elders past and present.

The team at Mercy Health is as wonderfully diverse as the patients, residents, clients and communities we support. We're proud to be recognised as an Employer of Choice for Gender Equality by the Workplace Gender Equality Agency (WGEA). Mercy Health strongly encourages applications from Aboriginal and Torres Strait Islander peoples, and people of all ages, sexualities, genders, abilities and cultural backgrounds.