09 Aug
|
Boltin
|
Melbourne
Position Summary
We are seeking an experienced and highly knowledgeable Medical Practice Manager to lead the operational, administrative, compliance, and business functions of our medical practice. The ideal candidate will possess extensive expertise in the Australian healthcare system, including private health insurance, Medicare billing, doctor and surgeon workflows, clinical administration, patient management, compliance requirements, and end-to-end documentation processes.
Should be experienced and have excellent knowledge in the Australian health Care System, WORKCOVER and TAC along with Medicare Billing
This role serves as the key operational link between doctors, surgeons, administrative teams, patients, hospitals, insurers, and external stakeholders.
The Medical Practice
Manager will ensure that all processes, protocols, documentation standards, compliance requirements, and practice operations align with both regulatory obligations and each clinician's preferred way of working.
In addition to managing daily operations, the successful candidate will act as a mentor, trainer, and subject matter expert, educating and developing the administrative and clinical support teams while driving operational excellence and continuous improvement. Key Responsibilities
Practice Operations Management
Oversee the day-to-day operations of the medical practice.
Ensure efficient patient flow, appointment scheduling, theatre coordination, and administrative processes.
Manage practice resources, staffing requirements, workflows, and service delivery standards.
Develop and implement policies, procedures, and best-practice operational frameworks.
Monitor performance metrics and identify opportunities for operational improvement.
Doctor & Surgeon Liaison
Act as the primary point of contact between the practice team and doctors/surgeons.
Develop a thorough understanding of each clinician's workflow, preferences, protocols, and patient management style.
Ensure administrative teams consistently support clinicians according to established requirements and expectations.
Coordinate communication between doctors, hospitals,
allied health providers, and external stakeholders.
Support clinicians in maintaining professional and regulatory obligations.
Medicare, Insurance & Billing Expertise
Maintain advanced knowledge of
Medicare Advantages Schedule (MBS)
Private Health Insurance requirements
Department of Veterans' Affairs (DVA) billing
Workers Compensation processes
Motor Vehicle Accident claims
TAC and state-based compensation schemes where applicable
Gap payments and informed financial consent requirements
WORKCOVER Process and Requirements
Ensure accurate billing, claiming, and reconciliation processes.
Monitor billing compliance and reduce claim rejections or payment delays.
Assist staff in interpreting Medicare and insurer requirements.
Stay updated on legislative and industry changes impacting billing and reimbursements.
Clinical Documentation & Administrative Compliance
Oversee the complete patient documentation lifecycle from:
Referral receipt
Initial consultation
Pre-operative preparation
Theatre bookings
Surgical procedures
Post-operative care
Follow-up appointments
Billing and claims processing
Ensure documentation is
Accurate
Complete
Timely
Legally compliant
Aligned with accreditation standards
Monitor the preparation and management of:
Referrals
Consultation notes
Surgical consent forms
Hospital documentation
Procedure reports
Specialist correspondence
Insurance and Medicare documentation
Financial consent documents
Medical records
Compliance & Risk Management
Ensure compliance with
Australian Privacy Principles (APPs)
Privacy Act requirements
Medicare regulations
RACGP and specialist practice standards where relevant
State and federal healthcare legislation
Accreditation requirements
Clinical governance frameworks
Conduct regular audits of administrative and documentation processes.
Identify operational, financial, and compliance risks.
Implement corrective actions and process improvements.
Team Leadership, Mentoring & Education
Lead, mentor, coach, and develop administrative and support staff.
Create and deliver training programs for:
Reception staff
Medical secretaries
Practice administrators
Surgical coordinators
Serve as the practice's subject matter expert on:
Insurance processes
Medicare requirements
Patient administration
Documentation standards
Compliance obligations
Foster a culture of accountability, professionalism, continuous learning, and patient-centered care.
Financial & Business Management
Assist with budgeting, forecasting, and financial reporting.
Monitor revenue cycle performance and billing accuracy.
Manage supplier and service provider relationships.
Support business growth initiatives and service development.
Identify efficiencies and opportunities to enhance profitability without compromising patient care.
Essential Qualifications & Experience
Experience as a Practice Manager.
Extensive experience within specialist medical, surgical, or multidisciplinary healthcare practices.
Strong understanding of Australian healthcare funding models and Medicare billing.
Demonstrated expertise in private health insurance processes and healthcare compliance.
Experience managing teams within a healthcare environment.
Advanced understanding of patient journey management and specialist practice workflows.
High-level knowledge of medical terminology and clinical documentation requirements.
Experience working directly with specialist doctors and/or surgeons. Key Competencies
Technical Expertise
Medicare and MBS billing
Private health insurance processes
Surgical and specialist practice operations
Medical documentation management
Compliance and regulatory knowledge
Practice management software systems
Healthcare administration
📌 Medical Practice Manager (Melbourne)
🏢 Boltin
📍 Melbourne