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Senior Clinical Compliance Auditor

Job Requisition Number:  6948
Date:  26-Nov-2021


Will you actively create a healthier future for tomorrow?


At Medibank we’re encouraged to think big. We have a clear purpose to impact better health outcomes for our customers, patients and our community.


We celebrate diversity of thought because we want to make better decisions for our customers. As we work towards our goal of better health for better lives, we value the knowledge and contribution of Aboriginal and Torres Strait Islanders. We are working hard to create an inclusive workplace and develop Indigenous careers.


The Opportunity

The key role of the Senior Clinical Compliance Auditor is to audit compliance of Hospital Provider Purchase Agreement (HPPA) Intensive Care Unit (ICU) billing guidelines, HPPA Rehabilitation Service Standards and HPPA Psychiatric Service Standards including any clinically related compliance audits or reviews to resolve erroneous claiming. It is a permanent, part-time role (0.5FTE) which offers the flexibility to work from home. We are looking for candidates based in any of Australia’s metro areas.


Your Impact

The position is required to prepare audit data, conduct audits both onsite and at the desk top, prepare detailed audit results findings using a case management system and recover benefit overpayments in line with audit outcomes. The role will drive accurate billing practice and compliance with HPPA and industry standards through onsite and desktop audits and education.


About you

You’re a degree qualified and AHPRA registered nurse with at least 3 years post- graduate experience in  a clinical role, ideally in  ICU, Psychiatric or Rehabilitation  units. Previous experience in audit is also critical.


Further requirements include:

  • Strong verbal and interpersonal skills
  • Competent knowledge and skills with Microsoft Office products, particularly Excel
  • Advanced organisational skills and effective time management
  • Strong attention to detail Desirable:
  • Desirable: Knowledge and understanding of the private health insurance sector
  • Interstate travel (subject to any public health order)



A career with us

At Medibank, we believe work is something we do, not somewhere we go. Our modes of working – Collaboration, Connection and Concentration – help inform how your day is structured and where you choose to work will vary, depending on your role and requirements.


The wellbeing of our employees is our priority. We encourage you to talk to us about any adjustments or additional support you may require during the recruitment process, as well as how this role can be flexible for you. Virtual interviews are always on offer and will not adversely impact your application.


All employees who may attend a worksite or any face-to-face work-related activity will be required to be fully vaccinated for COVID-19 as a condition of employment.


We offer a range of great benefits such as subsidised private health insurance, rewards and discounts, and health and wellbeing initiatives. To find out more click here.


To start small and impact bigger.

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