Sachbearbeiterin (w/m/d) Erstattungsservice [Kziff. DR8822]
Core
Process claims for medical services not reimbursed by health insurance or supplementary funds, verify denials against fee schedules (GOÄ/GOZ), and communicate with practices and patients.
Role type
Claims processing specialist (medical/dental)
Builds
Reimbursement decisions and clarification letters for medical/dental services
Domain
Healthcare administration / Insurance
Deliverable
client delivery
Required skills
Knowledge of GOÄ and GOZ fee schedules, structured independent work, strong communication, MS Office proficiency
Preferred skills
Dental medical training background, social insurance accounting training
Responsibilities
Review and analyze denials of medical service reimbursements, verify invoices against fee schedules, draft justification letters, contact practices and patients to clarify individual inquiries