Medical Claims Assessor
Teachers Health Fund
Medical Claims Assessor
Medical Claims Assessor
The purpose of this role is to assess Medical claims such as simplified billing/access gap claims lodged for payment by medical providers in a prompt, accurate and efficient manner. To provide advice and assistance to providers on all matters pertaining to claims and benefits payable. This a great role, reporting to a supportive team leader, in a fun and welcoming team.
What we have to offer?
- 6 weeks of annual leave
- Hybrid working model
- Subsidised private health insurance and discounts on our products and services
- 35 hour working week
- Fantastic central location in Surry Hills
- Employee well-being programme
- An annual corporate wardrobe allowance
- 18 weeks paid parental leave for eligible employees
- Additional long service leave
Who are we?
Teachers Health was created by teachers for teachers over 65 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 400,000 teachers, education staff & their families.
What will you do?
Some of your main tasks and responsibilities will be;
- Maintain a high standard of claims assessment through accurate, efficient and timely processing of medical claims.
- Provide advice and assistance to health service providers in relation to benefits and conditions of the fund.
- Contribute to the effective operations of the Health Insurance Business Unit
- Accurate assessment of simplified billing claims through the verification process and ECLIPSE system
- Prepare, review and complete medical claims through the verification process and ECLIPSE system
- Compliance with relevant legislation, including the Federal and State Acts
- Correspond with providers via e-mail, telephone or hard copy mail
What do you need? /What are we looking for?
- Previous claims experience is highly desirable but not essential
- Experience in PHI is highly desirable but not essential
- Experience working in the medical industrious would be advantageous
- Previous HAMBS experience would be highly regarded
- Data entry experience would be highly regarded
- A positive can do attitude is a MUST!
How do I apply?
Click APPLY NOW and send in your updated CV and an (optional) cover letter or video telling us why you would be a good fit for the role.
Teachers Health values diversity and inclusion and encourages applications from people with diverse backgrounds including First Nations people, people with disability, people from diverse cultural and linguistic backgrounds, and people that identify as LGBTQIA+. Applicants can request an adjustment at any stage during the recruitment process by getting in touch with jobs@teachershealth.com.au6 weeks of annual leave, Hybrid working model, Subsidised private health insurance and discounts on our products and services
Teachers Health Fund
Medical Claims Assessor
Medical Claims Assessor
The purpose of this role is to assess Medical claims such as simplified billing/access gap claims lodged for payment by medical providers in a prompt, accurate and efficient manner. To provide advice and assistance to providers on all matters pertaining to claims and benefits payable. This a great role, reporting to a supportive team leader, in a fun and welcoming team.
What we have to offer?
- 6 weeks of annual leave
- Hybrid working model
- Subsidised private health insurance and discounts on our products and services
- 35 hour working week
- Fantastic central location in Surry Hills
- Employee well-being programme
- An annual corporate wardrobe allowance
- 18 weeks paid parental leave for eligible employees
- Additional long service leave
Who are we?
Teachers Health was created by teachers for teachers over 65 years ago and is the only health fund exclusively for the education community. As a not-for-profit health fund, we exist for our members covering the lives of over 400,000 teachers, education staff & their families.
What will you do?
Some of your main tasks and responsibilities will be;
- Maintain a high standard of claims assessment through accurate, efficient and timely processing of medical claims.
- Provide advice and assistance to health service providers in relation to benefits and conditions of the fund.
- Contribute to the effective operations of the Health Insurance Business Unit
- Accurate assessment of simplified billing claims through the verification process and ECLIPSE system
- Prepare, review and complete medical claims through the verification process and ECLIPSE system
- Compliance with relevant legislation, including the Federal and State Acts
- Correspond with providers via e-mail, telephone or hard copy mail
What do you need? /What are we looking for?
- Previous claims experience is highly desirable but not essential
- Experience in PHI is highly desirable but not essential
- Experience working in the medical industrious would be advantageous
- Previous HAMBS experience would be highly regarded
- Data entry experience would be highly regarded
- A positive can do attitude is a MUST!
How do I apply?
Click APPLY NOW and send in your updated CV and an (optional) cover letter or video telling us why you would be a good fit for the role.
Teachers Health values diversity and inclusion and encourages applications from people with diverse backgrounds including First Nations people, people with disability, people from diverse cultural and linguistic backgrounds, and people that identify as LGBTQIA+. Applicants can request an adjustment at any stage during the recruitment process by getting in touch with jobs@teachershealth.com.au6 weeks of annual leave, Hybrid working model, Subsidised private health insurance and discounts on our products and services
< Back to list