Clinical Claims Analyst – Private Health Insurance

Australian Unity; Melbourne; Sur place; AUD 70 000 - 90 000; Plein temps

Avantages offerts par ce poste

Competitive salary & Bonus Program

Yearly Well-Being and Community leave days

14-week paid parental leave

Employee Assistance Program

Discounts at selected outlets and services

Résumé du poste

A leading wellbeing company in Melbourne is seeking a Clinical Claims Analyst to ensure the accuracy and compliance of health insurance claims. The ideal candidate will hold a Bachelor of Health Science in Nursing and be a registered nurse. You will provide expert assessments, document outcomes, and engage with teams to maintain the integrity of claims, while enjoying competitive benefits including parental leave and wellness programs.

Qualifications

• Current registration with AHPRA as a Registered Nurse.
• Relevant post-graduate qualification would be highly regarded.
• Understanding of Government legislation and regulations regarding Private Health Insurance.

Responsabilités

• Provide expert clinical assessment of claim information.
• Document clinical assessment outcomes in Salesforce.
• Engage with the Hospital Assessing Team to ensure integrity of claims.

Connaissances

Health Science in Nursing

Acute care clinical experience

Understanding of MBS and DRGs

Formation

Bachelor of Health Science in Nursing

Description du poste

A leading wellbeing company in Melbourne is seeking a Clinical Claims Analyst to ensure the accuracy and compliance of health insurance claims. The ideal candidate will hold a Bachelor of Health Science in Nursing and be a registered nurse. You will provide expert assessments, document outcomes, and engage with teams to maintain the integrity of claims, while enjoying competitive benefits including parental leave and wellness programs.