Leistungssachbearbeiter Krankenversicherung (w/m/d)
Hybrid
Core
Process insurance claims for health insurance members, verify billing against GOÄ, and disburse payments.
Role type
Claims processing specialist (health insurance)
Builds
Insurance claim payments for members
Domain
Health insurance
Deliverable
client delivery
Required skills
Claims processing, GOÄ billing verification, benefit entitlement assessment, payment disbursement
Preferred skills
Medical assistant background (MFA)
Responsibilities
Process system-supported performance claims, verify billing according to GOÄ, check benefit entitlements based on tariffs, pay out insurance benefits