CLAIMS & FINANCE OFFICER (AGED CARE / NDIS)

Key Responsibilities Third-Party and Subcontractor Claim Processing • Enter and upload invoices submitted by associated providers and third-party vendors against approved participant support plans and agreed unit pricing. • Perform claims checks, ensuring all data is accurate and entered on time. • Flag billing discrepancies, duplicate claims, or out-of-scope expenditure (non-allowable items under Support at Home guidelines) and escalate to local Managers. Claims Preparation and System Entry • Prepare monthly and fortnightly claims data, checking for exact matching of unit quantities, Service IDs, and correct funding sources. • Coordinate data input for invoice claims, ensuring all eligible claims are coded to the correct Service ID. • Track invoice processing statuses and data export reports and manage rejection follow-ups arising from primary Australian processing workflows. Compliance, Auditing, and Record Keeping • Maintain digital audit trails, ensuring copies of all invoices are uploaded to the client file in Visualcare. • Adhere to privacy frameworks (including the Australian Privacy Principles / Privacy Act 1988) when handling sensitive participant and financial data from an offshore location. • Support internal and external compliance audits by promptly retrieving requested financial records and remittance histories. Key Performance Indicators (KPIs) • Claim Accuracy Rate: Minimum 98% first-pass accuracy on invoice entry and validation. • Processing Turnaround Time (TAT): Adherence to established daily/weekly queue processing targets. • Dispute Resolution Speed: Mismatched third-party invoices identified and logged within 48 business hours of receipt. • Compliance Adherence: Zero critical data or regulatory breaches regarding unverified third-party expenses. Qualifications and Experience Experience • 2+ years' experience in accounts payable, claims processing, or financial administration, preferably within healthcare, insurance, or Australian aged care / NDIS sectors. Skills • Exceptional attention to detail and high-volume data entry accuracy. • Proficient in modern financial software, client management systems, and MS Excel. • Strong cross-cultural written and verbal communication skills for liaising with onshore Managers. Knowledge • Familiarity with Australian Aged Care or NDIS frameworks is an advantage. • Working understanding of privacy and data-handling obligations relevant to Australian participant data.