Claims & Finance Officer (Aged Care / NDIS)

Job description

### **About the Company** Our client is a growing provider of in-home care and support services, dedicated to delivering high-quality care while maintaining strong compliance, operational excellence, and workforce coordination. With a focus on reliability and client satisfaction, the organisation is seeking a Claims & Finance Officer (Aged Care / NDIS) to support the day-to-day scheduling and coordination of care services. ### **Primary Purpose** The Claims & Finance Officer (Aged Care / NDIS) ensures accurate, compliant, and timely end-to-end processing of third-party vendor and subcontractor invoices and claims. Working within a remote operational structure, this role acts as a critical link between external service providers, participant care plans, and Australian regulatory guidelines (Services Australia / Department of Health and Aged Care). ### 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.