Recoveries Manager

Have you always wanted to work for Australia’s largest Health and Care company? As the Recoveries Manager, you will be responsible for leading a team to through identification, investigation, recovery and reconciliation activities towards incorrectly overpaid claims to Bupa Hospital, Medical and Ancillary Providers, Medicare, Customers and, Third-Parties. Thorough understanding and proactive management of Bupa system rules, products, policies, business rules, benefit schedules, contract, bulk billing groups, Practice ID’s and guidelines.This role will drive cost savings as a result of the development of claims leakage strategies. There is a significant requirement to support and provide subject matter expertise uplift in systems implementation and analytics adoption to drive improved ROI. How will I help?

Develop and implement a strategic plan for claims recoveries, which involves identifying potential areas of recovery, setting targets, and outlining operational plans.