Healthcare Operations Supervisor

vor 1 Monat


Berlin, Berlin, Deutschland Medigo GmbH Vollzeit
Overview

As a Medical Operations Manager (f/m/d) at Medigo, you will be an integral part of a dedicated team responsible for managing incoming medical insurance claims and medical documentation, ensuring optimal support for insured individuals undergoing healthcare procedures.

Key Responsibilities
  • Conduct comprehensive medical evaluations of incoming health insurance claims, including assessments of pre-existing conditions and customary pricing analysis.
  • Utilize your expertise to advise on the necessity of medical interventions and assist in financial forecasting.
  • Examine medical bills meticulously to identify discrepancies and potential savings, while implementing best practices for cost management.
  • Engage with healthcare providers throughout the patient journey to monitor status and prevent unnecessary extended hospital stays.
  • Oversee the provision of Second Medical Opinions (SMOs) and collaborate with insurance partners on complex cases.
  • Contribute to the enhancement of operational processes and best practices by sharing innovative ideas.
Candidate Profile
  • Possess medical knowledge gained through education, internships, or practical experience in healthcare settings such as hospitals or clinics. A degree in Medicine is preferred.
  • Experience in medical service management with a health insurance provider or Third Party Administrator (TPA) is advantageous.
  • Fluency in English and German is essential; additional languages, particularly Polish, are a plus.
  • Exhibit professionalism and empathy in communication, demonstrating active listening skills and the ability to lead discussions with various stakeholders.
  • Detail-oriented with a diligent work ethic, known for thoroughness in tasks.
  • A collaborative team player who is comfortable seeking assistance and offering support to colleagues.
What We Offer
  • Be part of an innovative and truly international organization, making a significant impact in individuals' lives during critical times.
  • Enhance your skills within a professional and supportive team environment that values independent thought and accountability.
  • Experience a comprehensive onboarding process designed to support your integration.
  • Enjoy a dynamic start-up culture with ample opportunities to share your ideas and the flexibility of hybrid work arrangements.
About Medigo

Medigo is a global healthcare service provider based in Berlin, assisting insurance companies and organizations in navigating the complexities of the international healthcare landscape. Our extensive network of medical providers, proprietary claims management software, and experienced claims team position us as a trusted partner for companies worldwide. Supported by leading venture capital firms, we employ a diverse and driven team committed to our mission of ensuring global access to quality healthcare.



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