Hospital Claims AssessorSurry Hills | Permanent Full -Time | Hybrid after training | $94,742 incl.
super | 8AM - 4PMWe're looking for a detail-oriented and proactive Hospital Claims Assessor to join our team.In this role, you'll assess and process public and private hospital claims, interpreting policies, contracts and legislative requirements to ensure claims are processed accurately and efficiently.
Strong communication skills are essential, as you'll regularly engage with internal and external stakeholders, healthcare providers and members.
You'll need to be confident communicating clearly, particularly when explaining detailed or complex information.Please note:Full training is provided, with the first three months based in our Surry Hills office.
Following the training period, the role moves to a hybrid working arrangement.
Standard working hours are 8AM - 4PM.What we have to offer?
We at Teachers Health have a lot to offer,Attractive leave benefitsHybrid working model (after training period) and a 35-hour full-time week to support work-life balanceSubsidised private health insurance and discounts on our products and servicesFantastic central location in Surry HillsEmployee well-being programme18 weeks paid parental leave for eligible employeesAdditional long service leaveWho are we?
Teachers Health was created by teachers for teachers over 70 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 500,000 teachers, education staff & their families.What will you do?
/ How will you helpYou'll Be Responsible ForAccurately assessing and processing public and private hospital claims within required timeframesInterpreting policies, hospital contracts and legislative requirements to determine appropriate benefit paymentsReviewing hospital billing and identifying discrepancies or issuesMeeting productivity,



quality assurance and KPI standardsCommunicating confidently and professionally with internal and external stakeholders, healthcare providers and membersHandling inbound calls and enquiries, clearly explaining information and responding to queriesIdentifying problems, using initiative and contributing to solutionsContributing positively to team performance and continuous improvementWhat do you need?
/What are we looking for?
While previous claims experience would be advantageous, we're also interested in candidates who can demonstrate strong transferable skills.Experience in hospital claims, medical claims processing or healthcare billing is highly regardedAn understanding of hospital systems, billing practices, private health insurance or the broader healthcare industryExcellent attention to detail and the ability to interpret complex policies, contracts and informationStrong critical thinking and problem-solving skillsStrong verbal and written communication skills, with the confidence to engage with members and a range of internal and external stakeholdersThe ability to understand complex information and communicate it in a clear, concise and easy-to-understand wayExperience working towards KPIs and quality standardsThe ability to manage detailed or repetitive work efficiently without compromising accuracyA proactive approach, with the initiative to identify issues and contribute to solutionsA genuine interest in ongoing learning and developing technical knowledgeA team-oriented, positive approach to working within a teamApplicants must be Australian Citizens or Permanent ResidentsTeachers 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
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