GMHBA Limited1 follower19 jobs

Health Information Manager

Mid levelFull-timeHybridAustraliaPosted 1 month agoVerified 1 month 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.

Meet the team

About the company

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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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A meaningful career starts with a match

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5 criteria for this job
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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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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