Mitarbeiter (m/w/d) im Sachgebiet Widerspruch für die sachlich-rechnerische Richtigstellung der A...
Core
Reviewing appeals against fee assessment notices for outpatient physicians and preparing decisions based on medical billing regulations.
Role type
Administrative specialist (medical billing appeals)
Builds
Decision templates and formal appeal notices for the medical association
Domain
Healthcare administration / Medical billing compliance
Deliverable
dashboards & analysis
Required skills
Medical billing regulations (EBM, SGB V, SGB X), Administrative law, Document evaluation, Case file management, Correspondence management, Decision drafting
Preferred skills
Knowledge of contract physician billing systems, Administrative law expertise
Technologies
MS-Office, Electronic case management systems
Responsibilities
Reviewing appeals against fee assessment notices, Creating appeal decisions, Managing administrative case files, Handling procedural correspondence, Drafting decision templates