Ancillary Claims Analyst - BNE
- Recruiter
- Adzuna
- Location
- Brisbane, Brisbane
- Posted
- 28 Apr 2018
- Closes
- 11 May 2018
- Job role
- Accountant
- Sector
- Accounting - Public practice
Careers - Bupa CareersJob Keyword Search
Ancillary Claims Analyst - BNE Apply now Job no: xR1018576 Work type: Employee Location: QLD - Brisbane Metro Categories: Health & Benefits Bupa is extraordinary. We are a world leading health & care group with over 21,000 people in Australia and New Zealand, and our purpose it to help people live longer, healthier, and happier lives. We're making a difference in health & care through our leading health insurance, our modern Dental clinics, Bupa Optical stores and our first Bupa GP clinics, with more on the way. As well as personalised care at over 65 Bupa Aged Care Homes.
At Bupa our people are transforming and making a difference in the world of health & care.
The role
This is a 12-month fixed term contract opportunity, located at our Brisbane Office. We are seeking an Ancillary Claims Analyst to analyse claims and membership data, verbal data and all other sources of information; Breaks information into component parts, patterns and relationships; Probes for further information or greater understanding of a problem; Makes rational judgments from the available information and analysis.
Initiate and develop relevant data reports to identify areas of actual and potential claims leakage
Initiate ancillary provider profiling reviews within an agreed annual work program
Initiate and conduct desk top compliance audits and targeted chart to bill audits to validate claims submitted by providers and customers
Initiate and conduct on site compliance audits and targeted chart to bill audits, at a provider premises where necessary, through management of a private investigator to validate claims submitted by providers and customers
Instigate Provider De-recognition proceedings where analysis and investigation has indicated that a provider's aberrant behaviour is serious, with a possible outcome being commercial de-recognition for the payment of a benefit by Bupa.
Your background
You will be inspired and driven by the opportunity to work with a global leader in health care that is on the path towards an exciting transformation.
You will be/have: -
Dental Experience/Knowledge preferred
Customer Service background
Strong analytical skills and proven problem solving
Excellent research skills
Computer literate with Intermediate/Advanced Excel, Word and PowerPoint skills
Excellent oral and written communication skills
Excellent interpersonal skills
Intellectually curious with proven analytical and statistical skills
Health insurance or related field experience
Demonstrated attention to detail
Persistent
Proactive self-starer with the ability to self-manage
Bupa believes in hiring the best talent in the market. We are known for our vibrant, high performing and incredibly rewarding workplace, and we take pride in creating exceptional and meaningful work experiences, encouraging innovation, delivering award winning benefits to our employees and being involved with our communities.
Bupa has everything - growth, passion, results and a caring & supportive culture that surround a burning ambition and purpose that is the best in the world.
Find the purpose in your career!
#LI Advertised: 19 Apr 2018 2:30 PM E. Australia Standard Time Applications close: 18 May 2018 11:55 PM E. Australia Standard Time Back to search results Apply now Refer a friend
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Position Opened Closes Ancillary Claims Analyst - BNE 19 Apr 2018 18 May 2018 Analyse ancillary claims, membership, and products, to determine if there are aberrant patterns and seek cessation of activity and/or funds recovery. General Expressions Of Interest Loading... Current Opportunities Position Opened Closes Ancillary Claims Analyst - BNE 19 Apr 2018 18 May 2018 Analyse ancillary claims, membership, and products, to determine if there are aberrant patterns and seek cessation of activity and/or funds recovery. Powered by PageUp Existing Applicant Login Job Alert View All JobsFiltersWork Type
Employee 1Categories
Health & Benefits 1LocationsQLD
QLD - Brisbane Metro 1Bupa Australia Pty Ltd ABN 81 000 057 590
Ancillary Claims Analyst - BNE Apply now Job no: xR1018576 Work type: Employee Location: QLD - Brisbane Metro Categories: Health & Benefits Bupa is extraordinary. We are a world leading health & care group with over 21,000 people in Australia and New Zealand, and our purpose it to help people live longer, healthier, and happier lives. We're making a difference in health & care through our leading health insurance, our modern Dental clinics, Bupa Optical stores and our first Bupa GP clinics, with more on the way. As well as personalised care at over 65 Bupa Aged Care Homes.
At Bupa our people are transforming and making a difference in the world of health & care.
The role
This is a 12-month fixed term contract opportunity, located at our Brisbane Office. We are seeking an Ancillary Claims Analyst to analyse claims and membership data, verbal data and all other sources of information; Breaks information into component parts, patterns and relationships; Probes for further information or greater understanding of a problem; Makes rational judgments from the available information and analysis.
Initiate and develop relevant data reports to identify areas of actual and potential claims leakage
Initiate ancillary provider profiling reviews within an agreed annual work program
Initiate and conduct desk top compliance audits and targeted chart to bill audits to validate claims submitted by providers and customers
Initiate and conduct on site compliance audits and targeted chart to bill audits, at a provider premises where necessary, through management of a private investigator to validate claims submitted by providers and customers
Instigate Provider De-recognition proceedings where analysis and investigation has indicated that a provider's aberrant behaviour is serious, with a possible outcome being commercial de-recognition for the payment of a benefit by Bupa.
Your background
You will be inspired and driven by the opportunity to work with a global leader in health care that is on the path towards an exciting transformation.
You will be/have: -
Dental Experience/Knowledge preferred
Customer Service background
Strong analytical skills and proven problem solving
Excellent research skills
Computer literate with Intermediate/Advanced Excel, Word and PowerPoint skills
Excellent oral and written communication skills
Excellent interpersonal skills
Intellectually curious with proven analytical and statistical skills
Health insurance or related field experience
Demonstrated attention to detail
Persistent
Proactive self-starer with the ability to self-manage
Bupa believes in hiring the best talent in the market. We are known for our vibrant, high performing and incredibly rewarding workplace, and we take pride in creating exceptional and meaningful work experiences, encouraging innovation, delivering award winning benefits to our employees and being involved with our communities.
Bupa has everything - growth, passion, results and a caring & supportive culture that surround a burning ambition and purpose that is the best in the world.
Find the purpose in your career!
#LI Advertised: 19 Apr 2018 2:30 PM E. Australia Standard Time Applications close: 18 May 2018 11:55 PM E. Australia Standard Time Back to search results Apply now Refer a friend
Share this:
|
More
Search Results
Send me jobs like these
We will email you new jobs that match this search.
Email address
Great, we can send you jobs like this, if this is your first time signing up, please check your inbox to confirm your subscription.
The email address was invalid, please check for errors.
You must agree to the privacy statement
Subscribe
Recaptcha
Privacy agreement
Position Opened Closes Ancillary Claims Analyst - BNE 19 Apr 2018 18 May 2018 Analyse ancillary claims, membership, and products, to determine if there are aberrant patterns and seek cessation of activity and/or funds recovery. General Expressions Of Interest Loading... Current Opportunities Position Opened Closes Ancillary Claims Analyst - BNE 19 Apr 2018 18 May 2018 Analyse ancillary claims, membership, and products, to determine if there are aberrant patterns and seek cessation of activity and/or funds recovery. Powered by PageUp Existing Applicant Login Job Alert View All JobsFiltersWork Type
Employee 1Categories
Health & Benefits 1LocationsQLD
QLD - Brisbane Metro 1Bupa Australia Pty Ltd ABN 81 000 057 590