Hybrid Hospital Claims Assessor — Detail‑Oriented & KPI‑Driven

Teachers Health Group; Sydney; Hybrid; AUD 80,000 - 109,000; Full time

Benefits offered by this job

Hybrid after training

35 hours per week

Subsidised private health insurance

18 weeks parental leave

Employee well-being programme

Central location in Surry Hills

Long service leave

Job summary

Teachers Health Group is seeking a detail‑oriented Hospital Claims Assessor in Surry Hills. The role is permanent full‑time with hybrid work after training and hours 8 AM–4 PM. You will assess public and private hospital claims, interpret policies and contracts, and ensure accurate benefit payments.

Full training is provided; initial three months are in office, then hybrid arrangements apply. The team values accuracy, stakeholder communication and continuous improvement, with a 35‑hour work week

Qualifications

• Experience in hospital claims processing or healthcare billing is advantageous.
• Ability to interpret complex policies, contracts and information.

Responsibilities

• Accurately assessing and processing public and private hospital claims within required timeframes.
• Interpreting policies, hospital contracts and legislative requirements to determine appropriate benefit payments.
• Reviewing hospital billing and identifying discrepancies or issues.
• Meeting productivity, quality assurance and KPI standards.
• Communicating confidently with internal and external stakeholders, healthcare providers and members.
• Handling inbound calls and enquiries, explaining information clearly and responding to queries.
• Identifying problems, taking initiative and contributing to solutions.
• Contributing positively to team performance and continuous improvement.

Tools

Hospital billing systems

Healthcare billing software

Job description

Teachers Health Group is seeking a detail‑oriented Hospital Claims Assessor in Surry Hills. The role is permanent full‑time with hybrid work after training and hours 8 AM–4 PM. You will assess public and private hospital claims, interpret policies and contracts, and ensure accurate benefit payments.

Full training is provided; initial three months are in office, then hybrid arrangements apply. The team values accuracy, stakeholder communication and continuous improvement, with a 35‑hour work week