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Claims & Finance Officer (Aged Care / NDIS)

Role overview

Qualifications

  • 2+ years' experience in accounts payable, claims processing, or financial administration
  • 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

Responsibilities

  • Enter and upload invoices submitted by associated providers and third-party vendors
  • Perform claims checks, ensuring all data is accurate and entered on time
  • Prepare monthly and fortnightly claims data, checking for exact matching of unit quantities
  • Maintain digital audit trails, ensuring copies of all invoices are uploaded to the client file

Key facts

Other skills

  • Detail Oriented
  • Microsoft Excel
  • Communication

About the company

The Outline logo

The Outline

News Media & Journalism (Digital)

The Outline is a new kind of publication, built for the modern world. Our goal is to tell you the most fascinating stories about power, culture, and the future every single day — and to tell those stories in a truly different way.

Company details

IndustryNews Media & Journalism (Digital)
Company size11 - 50

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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.

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    MR

    Marcus Rivera

    Chief Revenue Officer

    m.rivera@company.com
    linkedin.com/in/marcusrivera
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