Revenue Assurance Specialist
vor 2 Monaten
Healius Pathology is part of Healius Limited, one of Australia's leading healthcare companies, synonymous with quality, affordable, and accessible healthcare for all Australians.
It has an expansive network of pathology laboratories, collection centres, and diagnostic imaging centres.
Through this footprint and its 10,500+ people, Healius provides specialty diagnostic services to consumers and their referring practitioners.
Why You Will Be Excited About This Role At Healius, we all have one thing in common: we are passionate about making a difference to the health of Australians.
In this newly created Revenue Assurance Specialist role, you will champion this vision and strategic direction as you use your curious nature and results-oriented approach to maximise Pathology revenue and improve billing solutions.
Your role will make a real impact on wider business operations as you help to increase revenue and improve cashflow turnover while assisting in the design, build & delivery of a new Laboratory Information System.
You will gain job satisfaction as well as the experience of working in transformation, using your knowledge of pathology combined with your problem-solving skills to create business recommendations & process improvements and join our mission to be the best pathology provider in Australia.
What You Will Be Doing As Revenue Assurance Specialist, you will be responsible for supporting the Revenue Assurance Team to maximise Pathology revenue and ensure that it is billed in accordance with contractual agreements and complies with Commonwealth legislation for Medicare and Health Fund billing.
You will be part of the Healius Finance team, reporting to the Revenue Assurance Manager and will work closely with the Revenue Team, Commercial, Operational, Clinical, Digital, IT, Data & Analytics, and Finance teams to improve billing solutions catered to the needs of our end customers while maximising Pathology's revenue.
Your key responsibilities will include: Performing ongoing audits of both high volume and complex/high risk billing scenarios to ensure revenue is maximised within relevant guidelines.Responding to external audits from Medicare, Private Health Insurers, and other payor groups.Supporting the design, build and implementation of the new billing module within Healius Pathology's LIS transformation project.Identifying opportunities for revenue standardisation across different billing systems.Auditing Xtend, Suspend, and claiming errors and identifying issues and trends.Creating and maintaining billing reference documentation for use by departments such as Accounts Receivable, Customer Service, Collections, and Master Data and train as required.Reporting and analysing revenue performance at a senior level.Engaging stakeholders to obtain buy-in for implementation of audit recommendations and process changes.What Type of Person Will Be Successful To be successful in this role, you will be experienced in Accounts Receivables and/or Revenue Assurance/Audit roles and will have a strong understanding of the Australian Pathology landscape, ideally coming from an Australian Pathology business.
These are the type of attributes & skills you would possess: Demonstrated high-level communication skills as you collaborate with different teams in the business.Proven knowledge and practical experience with pathology or diagnostic billing.Demonstrated understanding of the Medicare Benefits Schedule (MBS) and Private Health Insurance guidelines.Experience with billing systems and clinical systems.Benefits and Wellbeing As part of working for Healius, you will have access to a range of benefits including:
A marketplace of exclusive discounts and vouchers from leading Australian and online retailers.Corporate health insurance discounts, banking benefits, and novated leasing consultations.An e-learning platform with access to a library of courses and learning paths.An Employee Assistance Program dedicated to employee health and wellbeing provided by professional coaches.Fitness Passport – access fitness centres across Australia at a subsidised rate.Career growth opportunities across the Healius network.Being a part of a large ASX-listed organization focused on delivering positive outcomes to all Australians.Our commitment to diversity and inclusion Healius Pathology is an equal opportunity employer committed to creating an inclusive workplace.
We seek to recruit from diverse applicants and create teams with skills, perspectives, and experiences that complement each other at work.
We welcome suitably qualified applicants regardless of age, ethnicity, socio-cultural background, disability, sexual orientation, or gender identity.
Healius is committed to supporting Veteran Employment - Veterans and candidates with Australian Defence Force (ADF) experience are encouraged to apply.
How To Apply Please click the 'Apply Now' button to complete the pre-screening questions and submit your application.
If you would like further details please email .
We are a 2024 Circle Back Initiative Employer – we commit to respond to every applicant.
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