Health Fund Audit and Compliance Officer
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Job Location:
Monthly Salary:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
- Progress with purpose at one of Australias largest health care providers
- Get ahead with salary packaging benefits and professional development in a supportive team environment
- Flexible-Hybrid working arrangements available
- Permanent Full-time opportunity!
- Flexible Location
About the role
Reporting to the Health Fund Audit and Compliance Manager this role sits within the Funds Strategy team and is responsible for supporting activities that ensure compliance with health fund contract rules across Calvarys Private hospitals. The position also provides operational and administrative support to a range of functions within the Funds Strategy team.
Working collaboratively with team members this role will engage regularly with a variety of internal and external stakeholders including Hospital Admissions and Billing staff Patient Services Managers Hospital Executives the iPM team and Private Health Insurance Funds.
Your main duties will include:
- Provide support to Hospitals and the Revenue Fund team withco-ordination and processing of Health Fund audits
- Undertake internal compliance audits and actioning any outcomes
- Assist with the management collation and recording of accurate hospital profile information including but not limited to: licenses accreditation key contacts service facilities bed numbers and types.
- Assist with the development of policies and guidelines that support health fund contract compliance.
- Provide education to sites based on audit findings to ensure compliance with contract rules.
- Assist with and provide input into review of health fund audits to assist with the identification of areas of under or overbilling.
About you
- Experience working in administration in a private hospital or health fund.
- Experience and knowledge of health fund contract interpretation.
- Experience within a private hospital or in a health fund assessing or auditing hospital claims.
- Ability to develop working relationships across multiple levels in the organisation.
- Ability to work within tight deadlines.
- Proficient in the use of Microsoft Excel and Word
Desirable
- Experience in admissions billing or claiming processes within a private hospital
- Proficient in the use of Patient Administration Systems (ie. WebPAS or iPM)
For further information please contact Angela Skonis Health Fund Audit and Compliance Manager on
Why work for Calvary
At Calvary our staff matter.
With over 130 years experience and 18000 staff and volunteers we offer an inclusive and welcoming culture where you are valued drawing on your own strengths identity and background alongside a team of professionals who care for our patients residents and clients.
Your benefits:
- NFP salary packaging benefits discounted health insurance and gym memberships
- Paid parental leave
- Training development pathways and career opportunities
- Flexible hours that make sense for you
As we serve the community across Home Virtual and Residential Aged Care Retirement Living and Hospitals one thing sets us apart. Care from the heart. If this sounds like you apply for a role with Calvary today.
Please note the following:
- As part of the application process you will be required to complete pre-employment checks which may include but is not limited to reference checks work rights criminal history check NDIS/WWCC/WWVP checks and a health evaluation to ensure suitability for the role
Required Experience:
Unclear Seniority
Key Skills
- Compliance Management
- Risk Management
- Financial Services
- PCI
- Banking
- Cost Accounting Standards
- Quality Systems
- Research Experience
- NIST Standards
- Securities Law
- SOX
- ISO 27000
About Company
More than 130 years of high-quality, compassionate care. Providing hospital care, home and virtual care services, retirement living and residential aged care homes across five states and two territories.
