Sachbearbeitung Gesundheitswesen(m/w/d)
Core
Conducting economic efficiency audits of physician prescriptions and fee claims for the statutory health insurance system in Saxony-Anhalt.
Role type
Administrative specialist for health insurance audits
Builds
Audit reports, fee adjustment notices, and correspondence with physicians and insurance funds
Domain
German statutory health insurance administration
Deliverable
dashboards & analysis
Required skills
Health insurance law knowledge, medical billing processes, statistical analysis, documentation, correspondence
Preferred skills
Prior experience in GKV system, knowledge of drug classification, medical treatment workflows
Technologies
None stated
Responsibilities
Reviewing physician prescriptions and fee claims, drafting audit decisions, managing case files, calculating fee adjustments, office representation
Seniority
Junior to Mid-level, independent worker