Payment Integrity Specialist

Details of the offer

Apply now Job no: 494228
Work type: Permanent full time
Location: Perth CBD
Categories: Health Services

Flexibility with hours and work-from-home optionsFully Subsidised Corporate Gold Health Cover for you and your family13 days personal leave per yearAccess to corporate discounts across a range of retail, restaurants, and hotelsAre you passionate about protecting the interests of the HBF Group and ensuring the sustainability of HBF?
As the Payment Integrity Specialist, you will play a crucial role in preventing, identifying, and recovering claims leakage by investigating inappropriate claiming (provider or member).
About the role Conduct investigations into claims leakage, fraud, or inappropriate behaviour to reduce potential loss to the organisation.Identify areas where rules can be introduced, enhanced, or changed to improve the identification of claims leakage.Seek recovery of outstanding debts to the HBF Group.Liaise with internal and external stakeholders, including providers and members, to gather and document evidence.Prepare and submit reports to the Executive and provide fraud awareness training to management and team members.Continuously review and make recommendations on current HBF policies and rules to reduce the risk of claims leakage.Develop and maintain effective working relationships with key stakeholders and share outcomes and learnings from investigative experiences.About you Minimum 2 years of experience in conducting investigations and/or audits, or 3 years of health insurance claims experience.Strong verbal and written communication skills, with demonstrated high-level report writing ability.High level of interpersonal skills, including the ability to build strong relationships and influence others.Demonstrated analytical skills, including knowledge of Microsoft Office suite products.Proven ability to develop and deliver presentations for effective dissemination of fraud awareness information.Certificate III in Investigations or eligibility to attain an Investigators Licence is desirable.Experience in preparing briefs of evidence for police and/or regulatory bodies is a plus.Next Steps If you are looking for an exciting opportunity and are passionate about protecting the interests of the HBF Group, we'd love to hear from you.
To apply, click on the "Apply Now" button and submit your resume outlining your relevant experience.
Our recruitment process includes reference checks, National Police Clearance, and verification of working rights in Australia.
At HBF, we don't just accept difference — we celebrate it.
We encourage applications from diverse groups including Indigenous and Torres Strait Islander people, and individuals of all abilities, orientations, and backgrounds.
Advertised: 13 Dec 2024 W. Australia Standard Time
Applications close:

#J-18808-Ljbffr


Nominal Salary: To be agreed

Source: Jobleads

Job Function:

Requirements

Payment Integrity Specialist
Company:

Hbf Health


Insurance Loss Adjustor/Estimator - Busselton

The AMA Group is Australia's largest network of accident repair facilities, which currently comprises over 120 outlets and over 2,200 employees across Austra...


Ama Group Solutions - Western Australia

Published 5 days ago

Senior Valuer - Plant & Equipment

Add expected salary to your profile for insights We're looking for a curious person who wants to work in a high performing team on a wide range of exciting e...


Slattery Auctions - Western Australia

Published 5 days ago

This Is An It Support Group | Business Banker

See yourself in our team: The CommBank Small Business Banking team has a passion for helping Australian small businesses succeed. The team seeks to understa...


Tideri Jobbörse - Western Australia

Published 5 days ago

Custody Officer

CARE & CUSTODY OFFICERWANT A CHANGE IN CAREER?Are you someone who possesses resilience, maturity, compassion, and empathy? Picture this – an unexpected oppor...


Ventia Pty Limited - Western Australia

Published 5 days ago

Built at: 2025-01-14T14:51:50.162Z