SACHBEARBEITUNG (m/w/d) ABRECHNUNGSMANAGEMENT
Core
Reviewing and processing hospital billing claims for stationary and outpatient services to ensure factual, formal, and economic correctness according to legal regulations.
Role type
Billing specialist (healthcare)
Builds
Hospital billing claims and payment requests
Domain
Healthcare administration / German statutory health insurance
Deliverable
client delivery
Required skills
Knowledge of German Social Code V (SGB V), Hospital case data verification, Claims validation, MS Office, Digital applications
Preferred skills
Experience in outpatient hospital billing, Analytical thinking, Structured work, Independent action, Solution-oriented approach
Responsibilities
Check and process stationary and outpatient hospital case data, Verify and process all outpatient hospital billing claims (Ambulatory Surgery, Specialized Outpatient Care, Hybrid-DRG, University Ambulances, Psychiatric Outpatient Clinics, Pediatric Centers, Medical Treatment Centers, Child Specialist Ambulances, Genomic Sequencing Model), Validate claims against hospitals for entitlement, Contribute to the design and optimization of review processes
