Health Fund Audit and Assurance Lead
Brisbane Hybrid
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About the role
We are seeking a motivated and experienced Health Fund Audit & Assurance Lead to join our Revenue Services team. This role offers the opportunity to lead a specialised audit function, drive best practice processes and contribute to the financial sustainability of our hospital services through strong governance, compliance and revenue assurance activities. The Health Fund Audit & Assurance Lead is responsible for supporting and processing health fund audits, identifying discrepancies, and ensuring compliance with payer guidelines and regulatory standards. This role plays a critical part in minimising revenue leakage, reducing billing and eligibility errors, and supporting accurate reimbursement outcomes.
What you'll bring
- Demonstrated experience in health fund audits, revenue assurance, hospital billing or a related healthcare environment.
- Experience leading, coaching or mentoring team members.
- Strong analytical and problem-solving skills with exceptional attention to detail.
- Excellent communication and stakeholder engagement skills.
- Proven ability to manage competing priorities and work autonomously.
- Strong computer skills, including Microsoft Excel and other Microsoft Office applications.
- Knowledge of acute hospital billing requirements, revenue codes, ICD-10 coding, MBS items, prosthetics and private health fund contracts.
- Experience working within private hospital administration, patient accounts, health fund auditing or revenue services.
- Understanding of Queensland Health HCP reporting requirements and validation processes.
- Certificate III in Business Administration or equivalent qualification.
- Knowledge of medical terminology.
- What makes a difference for you?