About Brainbox
Brainbox is different from every other BPO. It's not just the amazing culture, strong brand, loyal customers, and talented staff, it is deeper than that. The Brainbox core value of Always Be Kind is embedded in every policy, decision, and every day. We develop our people, and the Philippines management team is all Filipinos. Everything we do aims to provide people with a work culture that helps them improve every single day. From unlimited training to HMO benefits from day 1, we want our people to love what they do and become the best versions of themselves.
The Role
We are looking for an NDIS Claims Officer who will be responsible for preparing every NDIS payment claim across the client's group of entities to a submission ready standard, so the client's Australian Claims Authoriser can focus on reviewing exceptions and submitting claims rather than processing them from scratch. Success in this role is measured on claim accuracy at first submission, rejection rate, claim cycle turnaround, and exception clearance time.
Our client is an Australian network of specialist disability and community services organisations, operating across multiple registered entities and provider brands and delivering supported independent living, complex care, and daily supports to participants nationally. Because the group runs several entities, claims work involves separate claim runs, multiple provider registrations, and checks for participants who may receive supports from more than one brand within the group.
Key Duties
Claim Preparation & Validation
- Receive and check service delivery records and timesheets against the client's rostering or care management system
- Check participant and service agreement data for currency and coverage
- Validate support item codes against the current NDIS Price Guide
- Check rates, quantities, GST treatment, cancellations, and travel against pricing rules
- Identify duplicate, missing, or out of period claims
- Check for cross entity duplicate claiming where a participant receives supports from more than one brand within the group
Batch & Entity Management
- Prepare and keep claim batches separate by entity, matching each claim to the correct registered provider and ABN
- Prepare the participant billing register and the bulk claim CSV file
- Maintain a claim preparation register using Ready, Hold, Exception, and Australian Review Required statuses
Reconciliation, Corrections & Reporting
- Work sanitised rejection instructions from the Australian team back through source records and place corrections into the next batch
- Reconcile payments to the client's accounting records and flag variances
- Follow up missing documentation with Australian staff and produce claim volume and exception reporting
Requirements
Essential Requirements
- 2 to 4 years experience in claims, medical or allied health billing, accounts receivable, or high volume transactional finance
- Demonstrated experience preparing and reconciling claim or invoice batches, not data entry alone
- Experience reconciling across more than one entity, ledger, or business unit
- Working knowledge of the NDIS Price Guide and support item structure
- Intermediate Excel skills, including lookups and CSV handling
- Experience using a rostering or care management system
- Evidence of working to a documented procedure under audit or compliance conditions
- Excellent written and verbal English communication skills
- Strong attention to detail and accuracy
Benefits
Perks
- Attractive and competitive salary
- A work-from-home arrangement
- Tenure-based and performance-based incentives
- Paid time off
- Unlimited cash incentives for hired referrals
- Engagement and recognition programs
- HMO on day 1
- Work-life balance with a 37.5h week and free weekends
- International career growth and clients
- Opportunities to travel abroad
- Modern air-conditioned offices, located along MacArthur Highway (easy public transportation access), near residences, malls, and restaurants
- Fun and inclusive working environment and great working culture
- Dedicated local support with local management, HR, onboarding, payroll, and ICT
- Access to unlimited training and micro-competencies to advance your skills
This role is subject to a number of skills and possible online practical tests. This position is an onsite role at our Pampanga office. Candidate must be willing to work on-site.
