About this Claims & Finance Officer (Aged Care / NDIS) role at Outsourcedstaff
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.
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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.
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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.
Claims Preparation and System Entry
Compliance, Auditing, and Record Keeping
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
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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.
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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.
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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.
