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Revenue Officer
St Vincent's Health Australia. Produce accurate and timely patient accounts in accordance with Health Fund contract business rules and Medicare requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing processes, including claim submission, debt management, and compliance with Health Fund contracts and Medicare requirements. Proficient in using Patient Administration Systems and Microsoft Office tools to enhance billing accuracy and efficiency.
Highest-signal resume keywords
Healthcare Billing ExperienceHealth Fund Contract InterpretationPatient Administration SystemsDebt Management and CollectionMedical Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim SubmissionMBS Item Number EntryBank ReconciliationAccount AdjustmentsDebt Write-OffsBilling Quality EnhancementHealthcare Legislation ComplianceMicrosoft ExcelMicrosoft WordMicrosoft Outlook
Soft Skills
Attention to DetailStrong Communication SkillsAbility to PrioritizeCustomer-Focused ApproachTeam Collaboration
Tools & Technologies
Patient Administration Systems
Certifications & Qualifications
Satisfactory Pre-Employment IdentificationRight-to-Work CheckNationally Coordinated Criminal History Check
Industry Keywords
Private HealthcareHealth FundMedicareBilling RulesHealthcare LegislationRegulatory RequirementsDebt CollectionAged Debt ManagementHealthcare CompliancePrivate Health Insurance
About the role
Key responsibilities & impact- Produce accurate and timely patient accounts in accordance with Health Fund contract business rules and Medicare requirements
- Complete and submit claim forms, certifications and supporting documentation
- Enter MBS item numbers and prostheses rebate codes
- Review theatre activity, coding and supporting documentation before billing
- Follow up missing item numbers, certificates and supporting information
- Respond to 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 KPIs and contractual agreements
- Perform bank reconciliations and receipt payments and remittances
- Process account adjustments and debt write-offs within approved delegations
- Support escalation of outstanding accounts and debt collection processes
- Collaborate with Doctors' rooms regarding MBS items, theatre billing and certification documentation
- Identify process improvements, billing quality enhancements and staff education opportunities
- Contribute to standardisation of billing practices and claim documentation
- Assist with healthcare legislation, contractual and organisational compliance activities
- Build and maintain relationships with internal and external stakeholders
- Participate in ongoing education and training on Health Fund billing requirements and industry updates
- Report to the Revenue Manager and work with Health Funds, Patient Administration Services, Theatre Staff and clinical teams
Requirements
What you’ll need- 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 highly regarded
- Knowledge of the private health insurance industry highly regarded
- Working knowledge of Medicare billing requirements and rules highly regarded
- Understanding of relevant healthcare legislation and regulatory requirements highly regarded
- Experience working in a complex healthcare or hospital environment highly regarded
- Satisfactory pre-employment identification, right-to-work, reference and nationally coordinated criminal history checks
- Compliance with applicable St Vincent's Health Australia screening and immunisation requirements
Benefits
Comp & perks- 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
- Inclusive workplace
- Professional growth opportunities
- Flexible and values-driven culture