Administration and Authorisations Manager ? Pet and Health Care (Insurance

at  Oneplan Underwriting Managers Pty Ltd

JOB SUMMARY:

The Administration and Authorisations Manager is responsible for overseeing the daily administrative operations and managing the insurance processes for client transactions for approvals of procedures. This role involves liaising with suppliers (Health care facilities and practices), addressing clients queries and concerns, ensuring compliance with health regulations, streamlining administrative processes, and working closely with clinical teams to support client / patient care. The manager also plays a critical role managing the administration team, enhancing operational efficiency and ensuring timely client / patient access to necessary services.

Education:

• Bachelor’s degree in business financial administration (BCom) and or Bachelor of science (BSc) or a related field, would be advantageous.
• Medical workplace experience working within a hospital or medical center for 2-3 years.
• Qualified Nurse with 3-5 years’ experience within the Health Service would be advantageous.
• Additional certifications in healthcare management or insurance billing are a plus

Experience:

• 5+ years of experience in healthcare administration, including at least 2 years in an insurance authorisation or billing role.
• Proven experience managing a team in a healthcare setting.
• In-depth knowledge of health insurance policies, reimbursement processes, and authorization procedures.
• Familiarity with hospital administrative processes and insurance claim systems.
• Proficient in office management software and Microsoft Office Suite.
• Strong organizational and leadership skills.
• Excellent communication and interpersonal abilities.
• Ability to multitask and prioritize effectively in a fast-paced environment.
• Problem-solving skills and attention to detail.
• Highly administrative and accurate in execution of tasks.
• Proven experience as an Admin Manager or in a similar role, including motivating of staff and ensuring the team is highly productive

Skills & Competencies:

• Strong understanding of healthcare regulations and standards.
• Excellent communication and interpersonal skills for patient interaction and insurance negotiations.
• Leadership and team management capabilities.
• Proficiency with healthcare management software (e.g., EHR systems, billing software).
• Strong organizational and problem-solving skills.
• Ability to work under pressure and meet deadlines, within a high-performance driven environment

KEY REQUIREMENTS OF THE ROLE:

Education:

• Bachelor’s degree in business financial administration (BCom) and or Bachelor of science (BSc) or a related field, would be advantageous.
• Medical workplace experience working within a hospital or medical center for 2-3 years.
• Qualified Nurse with 3-5 years’ experience within the Health Service would be advantageous.
• Additional certifications in healthcare management or insurance billing are a plus.

Experience:

• 5+ years of experience in healthcare administration, including at least 2 years in an insurance authorisation or billing role.
• Proven experience managing a team in a healthcare setting.
• In-depth knowledge of health insurance policies, reimbursement processes, and authorization procedures.
• Familiarity with hospital administrative processes and insurance claim systems.
• Proficient in office management software and Microsoft Office Suite.
• Strong organizational and leadership skills.
• Excellent communication and interpersonal abilities.
• Ability to multitask and prioritize effectively in a fast-paced environment.
• Problem-solving skills and attention to detail.
• Highly administrative and accurate in execution of tasks.
• Proven experience as an Admin Manager or in a similar role, including motivating of staff and ensuring the team is highly productive.

Skills & Competencies:

• Strong understanding of healthcare regulations and standards.
• Excellent communication and interpersonal skills for patient interaction and insurance negotiations.
• Leadership and team management capabilities.
• Proficiency with healthcare management software (e.g., EHR systems, billing software).
• Strong organizational and problem-solving skills.
• Ability to work under pressure and meet deadlines, within a high-performance driven environment.

Personal Attributes:

• Attention to detail and accuracy in managing paperwork.
• Empathy and patience when dealing with clients claims and their concerns.
• Adaptability in a fast-paced and evolving healthcare environment.
• Ethical and compliant approach to administrative duties.