GMHBA Limited1 follower19 jobs

Health Information Manager

Mid levelFull-timeHybridAustraliaPosted 2 months agoVerified 2 months ago
Pending fitX of Y criteria met

About the job

The Health Information Manager, Clinical Coder, or Health Data Specialist position at GMHBA is all about making a meaningful impact in the healthcare sector. This job focuses on protecting the integrity of health claims payments by investigating anomalies, conducting audits, and ensuring compliance. Join a supportive team that values curiosity and innovation, and enjoy a flexible workplace while contributing to better outcomes for members.

You'll be responsible for

🔍

Conducting audits

Perform audits of hospital and medical claims to identify inaccuracies and recovery opportunities.
📋

Analyzing claims

Analyze claims and clinical records to ensure correct benefit application and compliance.
💡

Generating insights

Generate insights and recommendations through data analysis and reporting to support business initiatives.

Key criteria

📊

Claims data interpretation experience

Proven experience interpreting claims data and clinical documentation.

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🔍

Audit and investigation skills

Demonstrated experience conducting audits and investigating billing anomalies.

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💻

Proficiency in SQL

Experience using SQL to analyze complex health claims data.

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5 criteria for this job
Claims data interpretation experience
Proven experience interpreting claims data and clinical documentation.

View

Audit and investigation skills
Demonstrated experience conducting audits and investigating billing anomalies.

View

Proficiency in SQL
Experience using SQL to analyze complex health claims data.

View

Knowledge of health funding systems
Strong knowledge of private health funding and classification systems.

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Stakeholder engagement skills
Excellent communication skills for collaborating with healthcare providers.

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