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About the Role
Lead accurate and timely health fund billing that supports exceptional patient care across one of Australia's largest not-for-profit health and aged care organisations. Play a critical role in healthcare revenue management by ensuring accurate patient billing, claims processing, and debt management in accordance with Health Fund contracts, Medicare requirements, and legislative obligations. Be a trusted billing and revenue specialist by partnering with Health Funds, Patient Administration Services, and clinical teams to maintain billing accuracy, resolve enquiries, and optimize revenue outcomes. Make a meaningful impact by supporting sustainable healthcare delivery through ensuring the integrity of revenue processes that enable St Vincent's Health Australia to continue providing compassionate care to communities across Australia.
Responsibilities
- Produce accurate and timely patient accounts in accordance with Health Fund contract business rules and Medicare requirements.
- Ensure all claim forms, certifications and supporting documentation are completed and submitted in compliance with legislative and contractual obligations.
- Accurately enter MBS item numbers and prostheses rebate codes.
- Review theatre activity, coding and supporting documentation prior to billing.
- Follow up missing item numbers, certificates and supporting information required for claim submission.
- Act as a key point of contact for revenue-related enquiries from staff, patients and Health Funds.
- Liaise with Health Funds regarding outstanding claims, payment issues and billing queries.
- Manage aged debt and debtor balances in accordance with departmental KPIs and contractual agreements.
- Perform bank reconciliations and ensure timely receipting of payments and remittances.
- Process account adjustments and debt write-offs within approved delegations.
- Support escalation of outstanding accounts and debt collection processes as required.
- Collaborate with Doctors' rooms regarding MBS items, theatre billing requirements and certification documentation.
- Identify opportunities for process improvements, billing quality enhancements and staff education.
- Contribute to standardisation of billing practices and claim documentation across the Private Division.
- Assist with ongoing compliance activities relating to healthcare legislation, health fund contractual requirements and organisational policies.
- Build and maintain effective relationships with internal and external stakeholders.
- Participate in ongoing education and training to remain current with Health Fund billing requirements and industry updates.
Requirements
- Previous experience in Billing within a private healthcare setting.
- Demonstrated experience interpreting Health Fund contracts and applying billing rules.
- Experience using Patient Administration Systems within a healthcare environment.
- Working knowledge and understanding of medical terminology.
- Strong attention to detail and commitment to accuracy.
- Experience managing aged debt and debt collection activities.
- Ability to prioritise work effectively and manage multiple tasks simultaneously.
- Intermediate skills in Microsoft Excel, Word and Outlook.
- Strong written and verbal communication skills.
- High-level computer and administrative skills.
- Ability to work autonomously while contributing positively within a team environment.
- A proactive, adaptable and customer-focused approach to work.
- Previous Health Fund or Hospital experience.
- Knowledge of the private health insurance industry.
- Working knowledge of Medicare billing requirements and rules.
- Understanding of relevant healthcare legislation and regulatory requirements.
- Experience working in a complex healthcare or hospital environment.
- Strong relationship management and stakeholder engagement skills.
- Satisfactory pre-employment checks, including identification, right-to-work, reference and nationally coordinated criminal history checks.
- Compliance with applicable St Vincent's Health Australia screening and immunisation requirements.
Skills
- Billing
- Revenue management
- Healthcare billing
- Patient Administration Systems
- Medical terminology
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Communication skills
- Computer skills
- Administrative skills
Location
- Victoria
- New South Wales
- Queensland
Work Type
- Full-time
Experience Level
- Experienced
Benefits
- Salary packaging to increase take-home pay
- Ongoing learning and development opportunities
- Employee Assistance Program (EAP) support
- Fitness Passport access
- Supportive, values-driven workplace culture
About the Company
- At St Vincent's Health Australia (SVHA), we are shaping a future health and aged care system that supports people with life-changing care, wherever and whoever they are.
- Founded by the Sisters of Charity in 1857, St Vincent's is one of Australia's leading not-for-profit health and aged care organisations.
- Our 30,000 dedicated people provide compassionate care through public and private hospitals, aged care residences, virtual care and services delivered at home across New South Wales, Queensland and Victoria.
- Our vision is for every person to receive excellent and compassionate care through a better and fairer health and aged care system.
- Together, we are focused on enhancing our impact, connecting care and transforming the system.
- Our work is grounded in our values of Compassion, Justice, Integrity and Excellence.
Equal Opportunity
- St Vincent's Health Australia welcomes people from all backgrounds and beliefs.
- We are committed to creating an inclusive workplace where everyone feels respected, valued and empowered to contribute their unique experiences.
- At St Vincent's we acknowledge the importance of creating a work environment that is welcoming, safe, equitable and inclusive for Aboriginal and/or Torres Strait Islander Employees.
- As part of our Commitment to Reconciliation and Closing the Gap in employment related outcomes, we encourage applications from Aboriginal and Torres Strait Islander Peoples.