Private Health Insurance Audit Coordinator

Private Health Insurance Audit Coordinator Apply now Job no: 500074 Work type: Permanent Location: South Brisbane Categories: All other Mater Group is currently seeking an experienced Private Health Insurance (PHI) Audit Coordinator to join our Private Revenue team on a permanent full-time basis. The PHI Audit Co-Ordinator reviews and coordinates Private Health Fund billing audits. The PHI Audit Co-Ordinator is required to identify practices requiring quality improvement and areas where the delivery of education and process re-engineering would benefit Mater. Salary range:$42.05-$46.32 per hour plus superannuation and salary packaging What you’ll be doing Review all health fund billing audits received by all Mater Private Hospitals Work closely with the PHI Audit Manager to determine if the recommendation for an audit episode is appropriate, and if not, take relevant steps to work with the health fund to resolve the situation Liaise and co-ordinate with relevant internal teams including Coding, Revenue Assurance, Billing and Privacy to obtain additional information required to perform the audit Make recommendations to the PHI Audit Manager and Revenue Operations Analyst where improvements are required based on results from audits Maintain the audit database so it is up to date and reflects the status of all audits being undertaken or completed Ensure that responses to the health funds are in accordance with instructions from the PHI Audit Manager Process audits within Key Performance Targets. Prepare internal requests on completion of an audit to assist in finalisation of the audit, including liaising with Accounts payable and the Billing Team Keep up to date with…
Click here to view more detail / apply for Private Health Insurance Audit Coordinator