Healthcare Claims Specialist AU NDIS Hybrid

Schedule: Monday to Friday (06:00 AM-03:00 PM PHT)

We are seeking a detail-oriented and experienced Aged Care / Community Care Claims Specialist to support funding claims and reporting processes within the Australian aged care sector. The successful candidate will play a key role in ensuring accurate, timely, and compliant submission of claims related to government-funded aged care and community care services.

This role requires hands-on experience with aged care funding systems, claims processing, and reporting tools used within Australian government-funded care programs.

Key Responsibilities Will Include

• Prepare, process, and submit funding claims for aged care and community care services.
• Ensure accuracy and compliance of claims in line with Australian government funding requirements.
• Support end-to-end claims processing, including validation of service delivery data.
• Maintain and update records related to claims, funding, and service activity.
• Work closely with care teams, finance teams, and operations to ensure correct claimable services are captured.
• Generate and submit reports using government reporting systems such as the DEX Portal .
• Monitor claim outcomes, resolve discrepancies, and follow up on rejected or pending claims.
• Ensure adherence to program guidelines for Support at Home packages and Commonwealth Home Support Programme (CHSP) funding.
• Maintain up-to-date knowledge of aged care funding rules and reporting requirements.
  
  

• Experience working in or with an Australian Aged Care or Community Care organisation.
• Proven hands-on experience in claims processing, funding submissions, or claims support functions.
• Strong understanding of Support at Home packages and/or CHSP-funded programs
• Experience using the DEX (Data Exchange) Portal for reporting or data submissions.
• Strong attention to detail and ability to ensure compliance with funding guidelines.
• Experience working with structured data, reporting, or administrative systems in healthcare or community services.
• Ability to manage deadlines and work with high-volume transactional processes.
  
  

• Hybrid or WFH
• Medical, Dental Coverage and Life insurance from day 1 of employment
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Regular Company Events, Work Life Balance, and Career growth opportunities.