Aged Care Claims Specialist (AU Health, Remote)

Schedule: Monday to Friday (08:00 AM-05:00 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.
Essential / 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.
Join the awesome team and enjoy these benefits & perks:
Permanent WFH set-up
HMO on Day 1 + 1 free dependent after 1 year of service
32 Leave Credits (with Quarterly Sick Leave Conversion)
Competitive salary package
Financial Assistance Program
Mandatory Government Benefits and 13th Month Pay
Regular Company Events, Work Life Balance, and Career growth opportunities.
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Equal Employment Statement
Employment decisions at ConnectOS will be conducted without consideration of factors such as age', race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

Work arrangement
Yes