Mitarbeiter*in (m/w/d) im Bereich MD-Management
Core
Handling inquiries from payers, preparing and justifying disputes for contested medical reports (MD), conducting discussions, and administratively preparing litigation cases.
Role type
Senior administrative specialist in medical management (MD-Management)
Builds
Dispute resolutions and administrative preparations for legal cases regarding medical reports
Domain
Healthcare administration / Medical billing and coding
Deliverable
client delivery
Required skills
Medical coding expertise, knowledge of hospital law, knowledge of social law jurisprudence, knowledge of DRG system, knowledge of ICD and OPS catalogs, knowledge of case-based reimbursement regulations, SAP IS-H med. proficiency, Microsoft Office proficiency
Preferred skills
Experience in MD management or medical controlling
Responsibilities
Independently processing inquiries from payers, preparing and justifying disputes for contested medical reports, conducting discussion procedures and creating disputes against private payers and accident insurance associations, taking over administrative and substantive preparation of litigation cases, close cooperation with specialist departments and coding specialists
Seniority
Senior, hands-on IC
