WW6677 - Health Information Manager - (Full-Time) - Medibank Private Limited, Docklands, VIC

About the role:

Due to growth, a new opportunity exists for a Health Information Manager to join the Payment Integrity Team in Melbourne. You will be an active member of a team that collaborates with hospitals and external parties to provide excellence and integrity in hospital claiming.

The Healthcare and Strategy team is focused on redefining the way healthcare will be purchased, funded and delivered in order to improve the health system experience. Our aim is to create a centre of excellence that is driven by innovation, clinical expertise, the patient experience and informed healthcare purchasing. Therefore we are building our capability by investing in provider management, analytics and insights capability.

Responsibilities / Duties: 

Some of your key responsibilities will include:

- Conduct hospital claim reviews, refund requests and manage other admission related queries;
- Provide accurate advice and guidance on payment integrity initiatives, including advice on casemix, diagnosis related group (DRG), clinical coding matters to internal and external stakeholders in relation to hospital claim payments;
- Contribute to the development and implementation of solutions to ensure strong data quality and payment integrity;
- Analyse and report on payment integrity data, outcomes and trends;
- Participate in data integrity activities to ensure compliance with hospital contractual agreements, Australian Coding Standards and other industry guidelines;
- Conduct audits of claims for external parties.


About you:

You are an organised and confident Health Information Manager with an eye for detail and strong time management skills. Presenting with coding experience, ideally at a tertiary level, you will be supported by the appropriate qualifications,

sound knowledge of DRGs, current coding experience with ICD-10-AM/ACHI and strong communication skills will be crucial to your success in this position. You will also have competent knowledge and skills with Microsoft Office products, particularly Excel.

While not mandatory, a knowledge and understanding of the private health insurance sector, will be highly regarded.


Contact Name: Nicola Gala
Contact Title: Talent Acquisition Advisor
Phone: 0386226452
Email: nicola.gala@medibank.com.au

Reference Number: 


Applications Close On: 
17 September 2019