Fachwirt/in - Krankenkasse

Medical approvals management

Medical approvals management

Health insurance specialists carry many different responsibilities, which include reviewing patient records using medical coding procedures. They examine the claims and verify insurance eligibility, as well as record any medical charges and other payments or adjustments. Health insurance specialists are also responsible for detecting any coding errors or performing any modifications needed.

Other responsibilities include assisting patients in obtaining and understanding medical benefits. In the office, communication with other medical staff members and health insurance providers often occur. They are also responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration forms.

Managing the sales and growth of a new account & consumer loan portfolio while meeting or exceeding established sales referral goals set by branch management;
Contacting members (using various methods) to share product and service information to enhance their relationship with the credit union;
Offering personalized information designed to educate members about our products & services;
Building strong relationships through personalized & extraordinary member service;

Managing the sales and growth of a new account & consumer loan portfolio while meeting or exceeding established sales referral goals set by branch management;
Contacting members (using various methods) to share product and service information to enhance their relationship with the credit union;
Offering personalized information designed to educate members about our products & services;
Building strong relationships through personalized & extraordinary member service;

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Prüfungs-Zertifikat auf Niveau A1