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Healthcare Operations Supervisor

vor 3 Monaten


Berlin, Berlin, Deutschland Medigo GmbH Vollzeit
Overview

As a Healthcare Operations Supervisor at Medigo GmbH, you will play a crucial role in a dedicated team managing incoming health insurance claims and medical documentation, ensuring optimal support for insured individuals receiving medical care.

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 cost forecasting.
  • Examine medical bills for discrepancies, identifying potential savings and implementing best practices for cost management.
  • Engage with healthcare providers throughout the patient journey to monitor status and prevent unnecessary extended stays.
  • Oversee the provision of Second Medical Opinions (SMOs) and collaborate with insurance partners on complex cases.
  • Contribute to the enhancement of processes and best practices by sharing your insights and suggestions.
Candidate Profile
  • You possess medical knowledge gained through education, internships, or hands-on 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; proficiency in additional languages, particularly Polish, is a plus.
  • You are a professional communicator with strong listening skills, capable of leading discussions with various stakeholders.
  • Your meticulous nature and attention to detail are well-known, making you an effective problem-solver.
  • A collaborative team player, you readily seek assistance and offer support to colleagues as needed.
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 driven, professional, and supportive environment that values independent thought and accountability.
  • Comprehensive onboarding process to ensure your success.
  • A dynamic start-up culture with ample opportunities to share your ideas and the flexibility of hybrid work arrangements.
About Medigo GmbH

Medigo GmbH, headquartered in Berlin, is a global healthcare service provider assisting insurance companies and organizations in navigating the complexities of the healthcare system. Our extensive network of medical providers, proprietary claims management software, and experienced claims team position us as a trusted partner for clients worldwide. Supported by leading venture capital firms, we are committed to delivering quality healthcare access globally.