MEDICARE BILLING OFFICER

FULL TIME

Clinical Services Team

Medicare Billing Officer is part of the Clinical Team of Mawarnkarra Health Service. The Service objective is to provide holistic, primary health care services to the Aboriginal people of the West Pilbara region.

LOCATION
20 Sholl Street, Roebourne, WA 6718.

LINE MANAGER

Clinical Manager

CONDITIONS OF EMPLOYMENT

37.5 hours per week Monday to Friday 8:30am to 4:45pm with 45minutes (unpaid) for lunch daily. You are to be ready for work no later than 8:30am daily.

Other conditions of employment are identified in your contract for employment.

All Mawarnkarra employees are required to comply with all policies in force at the time of commencement of employment and those implemented from time to time.

As part of the orientation program, employees are required to sign declarations and agreement pursuant to policies of the Health Service.

POSITION OBJECTIVE

The Medicare Billing Officer role is multifaceted, in that this role carries a variety of responsibilities. The primary responsibility is managing/submitting Medicare billing in a timely manner. This involves being able to use the patient data management system, and an understanding of Medicare Billing Schedule (MBS).

SELECTION CRITERIA, SKILLS, EXPERIENCE AND ATTRIBUTES

  • Ability to work independently and in a team environment.
  • A demonstrated understanding of Medicare billing practices in a primary health care service and a commitment to implementing systems for ongoing quality improvement in billing practices.
  • An understanding of the MBS
  • Demonstrated capacity to work in a collaborative manner with staff.
  • Motivation to provide service excellence.
  • Excellent writing skills.
  • Excellent interpersonal skills.
  • Commitment to ongoing participation in education, professional development, evidence based research and quality assurance.
  • Understanding the scope of practice and ability to seek help from line manager when required.
  • Remain up to date and informed of communications regarding billing and Medicare (such as from Department of Health/Human Services)

DUTIES

1. Medicare responsibilities:

  • Submission of Medicare claims in a timely manner.
  • Working with the Clinical Manager and SMO to ensure effective and efficient management to maximise claims under the Practice Incentives Program
  • In collaboration with relevant staff, improve the billing arrangements of the practice consistent with the rules and regulations governing the arrangements.
  • Implementing relevant changes to MBS items as updates occur.
  • Working with the Clinical Manager to identify billing opportunities.
  • Meet with the Senior Medical Officer and Clinical Manager regularly to review Medicare billing and to seek quality improvement opportunities or as required.

    • 2. Reporting responsibilities:

  • Daily auditing/submission of Medicare claims.
  • In collaboration with the Senior Medical Officer & Clinical Manager, develop and implement systems for the collection of accurate data consistent with reporting requirements.
  • Reporting and reconciliation related to the Practice Incentive Program
  • To assist in the interpretation of the data collected.

    • 3. Communication:

  • Ensure that all communications with Medicare are dealt with professionally.
  • Ensure to liaise with Medicare when further assistance is required.

    • 4. Quality improvement activities:

  • Promote continual quality improvement in the service.
  • Ensure all standards are maintained consistent with RACGP and QIC accreditation standards as applicable to the service.

    • 5. Professional responsibilities:

  • Work in collaboration with the Clinical Manager on all relevant issues.
  • Work in collaboration with the Finance Team to ensure efficient and accurate Medicare / PIP income recognition and processing.
  • Maintain the highest standards of professional conduct.
  • Participate in and contribute to the successful outcomes of the organisation.
  • Participate in research activities within the services as requested and required.
  • Participate in maintaining a safe working environment.
  • Other reasonable duties as directed by your line manager.

    • EDUCATION

    Attend and participate in the professional development program and relevant external seminars and conferences, as approved.

    OTHER RELEVANT INFORMATION

    Performance will be appraised on an on-going basis and formally at the first 3 months and annually thereafter.

    Consent to a Working with Children Check and a National Police Certificate. Employment is conditional pending the outcome of these checks.

    Current Driver’s License.

    All employees are subject to regular random drug and alcohol testing.

    Please email your resume and application for a role through to hrofficer@mhs.org.au. You will receive confirmation that your application has been received. Should we progress your application to interview, we will contact you to arrange.

    MHS may commence appointment proceedings immediately, appoint by invitation or make no appointment at all. This opportunity is only open to candidates with the right to work in Australia. Aboriginal and Torres Strait Islander people are encouraged to apply.

    DOWNLOAD APPLICATION FOR EMPLOYMENT FORM
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