Aged Care Claims Specialist (AU Health, Remote)

ConnectOS; Philippines; À distance; PHP 300 000 - 540 000; Plein temps

Avantages offerts par ce poste

Permanent WFH

HMO Day 1

Leave credits 32

Competitive salary

Financial assistance

Government benefits + 13th month

Company events

Work-life balance

Career growth

Résumé du poste

ConnectOS is seeking an experienced Aged Care / Community Care Claims Specialist to support funding claims and reporting for Australian government-funded programs. This role requires hands-on experience with aged care funding systems, claims processing, and reporting tools, including the DEX Portal.

Responsibilities include preparing and submitting claims, validating service data, maintaining records, and generating reports while ensuring compliance with CHSP and Support at Home guidelines.

Qualifications

• Experience working in or with an Australian Aged Care or Community Care organisation.
• Hands-on experience in claims processing, funding submissions, or claims support functions.
• Strong understanding of Support at Home packages and CHSP funding programs.
• Experience using the DEX Portal for reporting or data submissions.
• Strong attention to detail and ability to ensure compliance with funding guidelines.
• Experience with structured data and reporting systems in healthcare or community services.
• Ability to manage deadlines and work with high-volume transactional processes.

Responsabilités

• Prepare, process, and submit funding claims for aged care and community care services.
• Ensure accuracy and compliance of claims with government funding requirements.
• Support end-to-end claims processing and validate service delivery data.
• Maintain and update records related to claims, funding, and activity.
• Work closely with care teams, finance teams, and operations to ensure correct claimable services are captured.
• Generate and submit reports using the DEX Portal.
• Monitor claim outcomes, resolve discrepancies, and follow up on rejected or pending claims.
• Ensure adherence to program guidelines for Support at Home packages and CHSP funding.
• Maintain up-to-date knowledge of aged care funding rules and reporting requirements.

Connaissances

Claims processing

Attention to detail

Data handling

Time management

Communication

Outils

DEX Portal

Description du poste

Schedule: Monday to Friday (08:00 AM-05:00 PM PHT)

We are seeking a detail-oriented and experienced Aged Care / Community Care Claims Specialist to support funding claims and reporting processes within the Australian aged care sector. The successful candidate will play a key role in ensuring accurate, timely, and compliant submission of claims related to government-funded aged care and community care services.

This role requires hands-on experience with aged care funding systems, claims processing, and reporting tools used within Australian government-funded care programs.

KEY RESPONSIBILITIES WILL INCLUDE:

• Prepare, process, and submit funding claims for aged care and community care services.
• Ensure accuracy and compliance of claims in line with Australian government funding requirements.
• Support end-to-end claims processing, including validation of service delivery data.
• Maintain and update records related to claims, funding, and service activity.
• Work closely with care teams, finance teams, and operations to ensure correct claimable services are captured.
• Generate and submit reports using government reporting systems such as the DEX Portal.
• Monitor claim outcomes, resolve discrepancies, and follow up on rejected or pending claims.
• Ensure adherence to program guidelines for Support at Home packages and Commonwealth Home Support Programme (CHSP) funding.
• Maintain up-to-date knowledge of aged care funding rules and reporting requirements.

ESSENTIAL / REQUIREMENTS:

• Experience working in or with an Australian Aged Care or Community Care organisation.
• Proven hands-on experience in claims processing, funding submissions, or claims support functions.
• Strong understanding of Support at Home packages and/or CHSP-funded programs
• Experience using the DEX (Data Exchange) Portal for reporting or data submissions.
• Strong attention to detail and ability to ensure compliance with funding guidelines.
• Experience working with structured data, reporting, or administrative systems in healthcare or community services.
• Ability to manage deadlines and work with high-volume transactional processes.

Join the awesome team and enjoy these benefits & perks:

• Permanent WFH set-up
• HMO on Day 1 + 1 free dependent after 1 year of service
• 32 Leave Credits (with Quarterly Sick Leave Conversion)
• Competitive salary package
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Regular Company Events, Work Life Balance, and Career growth opportunities.

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

#ConnectOSCareers #JoinConnectOS#ConnnectOSNonTech

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age', race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

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