Koordynatorka / Koordynator ds. Nadzoru Usług Medycznych (PZU Zdrowie)
Core
Planning and executing audits of medical and billing documentation for healthcare providers, verifying service correctness, and analyzing data to identify irregularities and risks.
Role type
Senior operational auditor (medical services)
Builds
Corrected billing processes and compliance reports for healthcare providers
Domain
Healthcare insurance and medical services
Deliverable
dashboards & analysis
Required skills
Medical market knowledge, MS Office (Excel) data analysis, business reporting, risk identification, analytical abilities, project coordination
Preferred skills
Experience in medical service audits, billing, or collaboration with healthcare providers/insurers
Responsibilities
Planning and executing medical/billing documentation audits, verifying reported medical services, coordinating implementation of billing guidelines, analyzing data to identify irregularities, preparing analysis and reports, collaborating with healthcare providers on billing and documentation
Seniority
Mid-level, hands-on IC