Sachbearbeiter Plausibilität (w/m/d)
Hybrid
Core
Verify the plausibility of medical and psychotherapeutic services provided by members against established criteria and prepare legally binding decisions.
Role type
Administrative specialist (plausibility control)
Builds
Legally binding decisions and agreements for the ambulatory medical and psychotherapeutic care system
Domain
Healthcare administration / German statutory health insurance
Required skills
Knowledge of SGB V, EBM, BMV-Ä regulations, MS Office, administrative processing, research, protocol management, correspondence
Preferred skills
Legal clerk training, experience in healthcare administration, organizational talent