What you’ll be doing in this role

The primary purpose of this position is to assist the Health Fund Relationship Manager to ensure health fund audits are completed in a timely manner, with accuracy, and with minimal financial impact on AHCL. This specifically involves actively participating in the end-to-end process of responding to health fund audits in line with the contract rules specific to each of the agreements between AHCL and the respective health funds.

Reporting to the Health Fund Relationship Manager, your key responsibilities will include:

• Support the Health Fund Auditor in the management and monitoring of AHCL audit compliance with health fund contracts
• Accountable for implementing the audit program to review and monitor AHCL’s compliance with responsibilities under various health fund contracts in relation to billing accuracy, repayments to health funds and penalties for clinical variation
• Be an advocate for AHCL to minimise revenue recoveries by health funds while complying with contractual obligations
• Report variances and recommend process improvements to Health Fund Relationship Manager
• Wholeheartedly contributing to a culture of excellence and continuous quality improvement; and
• Actively contributing to a culture of comradery and teamwork.

Who we’re looking for

• You’ll have qualifications in Nursing and experience within the healthcare industry
• Ideally, you’ll have knowledge of the private health insurance industry within Australia
• Preferably, you’ll have a broad clinical knowledge of all aspects of healthcare, including medical, surgical, critical care, and prostheses
• Your friendly and positive way of working with people will be obvious in how you considerately and professionally communicate with patients, their families, visitors, and your colleagues
• You’ll be collaborative, adaptable, work well within a team environment, and able to work independently
• You’ll be empathetic, systematic, detail-oriented, and prepared to embrace Adventist Healthcare’s everyday values of excellence and integrity.

Taking care of people is our reason for being

At Sydney Adventist Hospital, fondly known as the San, taking care of people is our reason for being. It’s what drives us to deliver exceptional outcomes for our patients – and it’s a shared sense of purpose that extends to everyone who works here too. When you work for the San, you’ll feel valued and supported by our strong commitment to learning, flexibility, great benefits and a positive culture of teamwork and cooperation.

About Us

Adventist HealthCare owns and operates San Day Surgery, Hornsby, and the Sydney Adventist Hospital (fondly known as the San), NSW’s largest and most comprehensive private hospital with a dedicated team of 2400+ employees, over 1000 Medical Officers, and 300 Volunteers. Founded in 1903, we are a not-for-profit, faith-based healthcare organisation that’s progressive and purpose-driven. We’ve been advancing healthcare and delivering exceptional outcomes for generations – and thanks to our investment in technology, education & research, we’re proud to be at the very forefront of our field.

What to expect

Please know that employment with Adventist Healthcare requires:

• A National Police and Working with Children Check
• Two professional reference checks
• At least 2 COVID-19 vaccinations with 3 doses preferred
• Other pre-employment screenings

How to apply

If you see yourself in this role, we’d love to hear from you. Just click on the ‘Apply Now’ button, fill out your details and submit. Once you apply, we’ll keep you up to date on how your application is progressing. We encourage applications from people who identify as Aboriginal or Torres Strait Islander.

If you’d like to chat with one of our team members about this role, then please contact:

       Ms Hui Lin Lim (Lin)
       Health Fund Auditor
       Email: HuiLin.Lim@sah.org.au
       Phone: 0457 512 835

Applications Close: Sunday, 9 April 2023