ABOUT US

Ramsay Health Care, a global operator of private hospitals and primary care clinics with over 70 Australian sites employing over 30,000 people. We have been focused on delivering high-quality patient care and practising the Ramsay Way philosophy of ‘People Caring for People’ since 1964.
We believe in a bright future for our company and for every one of our employees – our wellbeing initiatives and learning and development programs have seen us grow as an industry leader and sought after employer.

REQUIREMENTS

• A National Police Check conducted within the previous 12 months may be asked of you

The Clinical Billing Compliance Auditor will apply clinical expertise responding to insurer audits by facilitating onsite and remote clinical billing audits. The auditor role will also be integral to monitoring audit trends to develop internal clinical billing initiatives resulting in clinical service billing accuracy. The Clinical Biling Compliance Auditor will also provide guidance to a wide range of workgroups relating to clinical billing audit matters and establish positive working relationships with both Ramsay billing and insurer audit teams.
Your Skills and Experience

Essential

• Bachelor of Health Science (Nursing, Health Science) or equivalent
• Demonstrated understanding of hospital inpatient episode funding
• Ability to travel to facilitate onsite health fund audits or support other audit initiatives
• Ability to analyse data sets to identify trends and develop plans for accuracy improvement
• Excellent time management and organisational skills.
• Demonstrated high level verbal, written and interpersonal skills
• Sound computer literacy and skills within the Microsoft Office Suite.

Desirable

• Previous Private Hospital Audit experience.
• Detailed knowledge of billing in relation to prostheses, consumables, MBS and theatre processes.
• Familiarity with patient administration software (e.g. Meditech).