Job Description
Health Fund Audit & Assurance Lead
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Employment Term: Permanent Full Time
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Location: Ann Street, Brisbane CBD
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Remuneration: $ ***** p/h + Super + Salary Packaging Benefits
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Make a meaningful difference
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At UnitingCare, we're committed to improving the health and wellbeing of the communities we serve. With a proud history of providing exceptional healthcare services across Queensland, we strive to create positive outcomes for our patients, people and partners every day.
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Your part in our Revenue Services Team
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The Health Fund Audit & Assurance Lead is responsible for supporting and processing health fund audits, identifying discrepancies, and ensuring compliance with payer guidelines and regulatory standards. This role plays a critical part in minimising revenue leakage, reducing billing and eligibility errors, and supporting accurate reimbursement outcomes.
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Leading a small team, you will provide expert guidance, drive best practice audit processes and collaborate with stakeholders across hospital operations to strengthen compliance and optimise revenue integrity.
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Key duties will include:
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Lead a small team dedicated to health fund audits, including desktop and onsite reviews.
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Lead and provide an exceptional audit review and reconciliation service, establishing best practice processes.
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Maintain detailed audit logs and prepare reports for management, identifying trends, findings and recommendations.
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Monitor trends in health fund audit results and elevate identified issues to support ongoing education and improvement initiatives.
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Monitor and action Queensland Health HCP data validation errors and implement corrective actions to minimise recurring issues.
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Provide training and guidance to staff on compliance requirements and audit readiness.
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Collaborate with Coding, Billing, Hospital Registration and Clinical teams to ensure accurate charge capture and documentation alignment.
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Support the identification and resolution of billing, eligibility and compliance discrepancies.
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Maintain strong relationships with key internal and external stakeholders.
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Contribute to continuous improvement initiatives to enhance audit outcomes and minimise revenue leakage.
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What makes a difference for us?
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Essential:
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Demonstrated experience in health fund audits, revenue assurance, hospital billing or a related healthcare environment.
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Strong understanding of health fund contracts, healthcare funding and reimbursement processes.
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Experience leading, coaching or mentoring team members.
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Strong analytical and problem-solving skills with exceptional attention to detail.
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Excellent communication and stakeholder engagement skills.
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Proven ability to manage competing priorities and work autonomously.
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Strong computer skills, including Microsoft Excel and other Microsoft Office applications.
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Desirable:
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Knowledge of acute hospital billing requirements, revenue codes, ICD-10 coding, MBS items, prosthetics and private health fund contracts.
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Experience working within private hospital administration, patient accounts,



health fund auditing or revenue services.
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Understanding of Queensland Health HCP reporting requirements and validation processes.
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Certificate III in Business Administration or equivalent qualification.
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Knowledge of medical terminology.
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What makes a difference for you?
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NFP Salary Packaging: Save tax and increase your take home pay by salary packaging your everyday living expenses and bills (up to $15,900) and meal entertainment (up to $2,650) per annum. To learn more about this benefit watch the video via the following link: Salary Packaging Explained
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Flexible work arrangements to support work-life balance
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A recognition and rewards platform , providing employee discounts at hundreds of retailers, including everyday expenses, holidays, health insurance, annual awards celebration, wellbeing and employee assistance programs
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12 weeks paid parental leave and 2 weeks paid partner leave, available after 6 months service, in addition to the government scheme
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Diversity and inclusive leave , offering paid gender affirmation leave and cultural leave options (paid and unpaid) for those who may celebrate Lunar Recent Year, Diwali, Ramadan, NAIDOC weeks and other significant cultural events
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Career development opportunities to challenge yourself, grow and make a meaningful difference
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A positive and inclusive team based on respect, shared standards, strong values and a commitment to serving others
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We'd love you to be part of our UnitingCare family
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By joining our Hospitals, you'll also be welcomed as part of the UnitingCare family. The second-largest Queensland employer, we're a proud not-
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📌 Health Fund Audit And Assurance Lead (Queensland)
🏢 unitingcareqld
📍 Queensland