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