Sachbearbeitung (m/w/d) Kostenträgeranträge, Würzburg
Core
Process claims and audit requests from healthcare payers to ensure fair reimbursement and protect member physicians from unjustified recoupments.
Role type
Claims processing specialist (healthcare administration)
Builds
Corrected reimbursement calculations and audit decisions for member physicians
Domain
German public health insurance administration
Required skills
Social insurance specialist training, healthcare billing knowledge, EBM regulations, contract law basics, MS Excel, written communication, telephone communication
Preferred skills
Experience in billing audits, payer audit procedures
Responsibilities
Timely processing of procedures arising from payer claims and audit notifications, evaluating claims and implementing audit notifications, initiating factual and mathematical corrections, providing written and oral information to physicians, supporting team leadership and preparing for insurance fund conversations