Berlin, Germany · Hybrid
General Information As Medical Operations Manager (f/m/d) at Medigo, you will be part of a close-knit team handling incoming medical insurance claims and medical reports while providing the best possible support for the …
Skills: Medical Assessment, Claims Management, Cost Containment, Medical Invoicing, Case Management
Berlin, Germany · Hybrid
General Information As Medical Operations Working Student (f/m/d) at Medigo, you will be part of a close-knit team handling incoming medical claims and reports while providing the best possible support for the members un…
Skills: Medical Claims Processing, Claims Management, English Fluency, German Fluency, Stakeholder Communication
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Perform medical assessments of insurance claims and analyze medical invoices to identify errors and cost-saving opportunities. Coordinate complex medical cases between providers, insurance companies, and members while delivering second medical opinions.
Requires medical experience from studies or clinical practice, ideally with a university degree in Medicine. Must be fluent in English and German and possess a valid work permit for Germany.
As Medical Operations Manager (f/m/d) at Medigo, you will be part of a close-knit team handling incoming medical insurance claims and medical reports while providing the best possible support for the insured members undergoing medical treatment.
The position is available at the earliest possible date, is offered full-time or part-time, and located in Berlin. Medigo works on a hybrid model where office attendance is required 2 days a week.You provide thorough medical assessments of incoming health insurance claims, including pre-existing condition checks and reasonable & customary price analysis.
You use your professional advice to provide input on the necessity of medical procedures and cost forecasting.
You scrutinize medical invoices to identify errors and generate potential savings, are responsible for applying best practices in cost containment, and challenge medical facilities in case of errors.
You liaise with medical providers before, during, and after admission to inquire about the patient’s status and avoid unnecessarily prolonged admissions.
You actively manage complex medical cases and coordinate between the provider, the insurance company and the member.
You are responsible for the delivery of Second Medical Opinions (SMOs) and responsible for liaising with our insurance partners on the most complex admissions.
You have the opportunity to influence and improve our processes and best practices by bringing in your own ideas.
Prior experience in medical service management with a public or private health insurance company or a Third Party Administrator (TPA) is a big plus.
You are fluent in English and German. Other languages are a plus, particularly Polish.
You are a professional and empathetic communicator, a genuine and active listener, and confidently lead conversations with different stakeholders.
You are a true detective: you are known for your extremely diligent way of working and for being very detail-orientated.
As an absolute team player, you comfortably ask others for help and readily offer your support wherever it is needed.
You have a valid work permit for Germany.
Be part of an innovative, truly international company and have the opportunity to make a real difference in people’s lives in times when they need it the most.
Develop your skills within an ambitious, professional, and supportive team, in a company where independent thinking and taking responsibility are encouraged.
A holistic, in-depth, and supportive onboarding process.
A start-up atmosphere, lots of room to bring in your ideas, as well as the flexibility of hybrid working.
Who we are
Headquartered in Berlin, Medigo is an international provider of medical assistance and claims management services. As a Third-Party Administrator, we help insurance companies and other stakeholders of the health and travel insurance industry with medical services globally. Our global network of medical providers in 125+ countries, our proprietary claims management software, and our experienced team make us a go-to partner for companies from around the world. Medigo is supported by Atlantic Labs, and employs a driven, diverse, and international team. Join us and become a part of our mission : to make access to healthcare seamless and cashless.
Medigo helps insurance companies to navigate healthcare systems globally.
Our mission is global access to quality healthcare. Medigo is a Third Party Administrator that manages health insurance claims for leading insurance companies around the globe. From our headquarters in Berlin, our multilingual customer support and case management team provides a consistently professional service to providers, policyholders, and partners, ensuring smooth communication between all parties. Our global payment platform ensures low cost and reliable transfers of funds. With agile software we are able to efficiently manage claims with rigorous cost containment at every step. Finally, through a curated global provider network, Medigo provides useful add-ons such as second medical opinions and medical travel support. Medigo is supported by leading VCs such as Accel Partners and employs a driven team of 50+ people from 25 countries.
Offices: Berlin, Berlin 10119, DE
Medigo helps insurance companies to navigate healthcare systems globally.
Our mission is global access to quality healthcare. Medigo is a Third Party Administrator that manages health insurance claims for leading insurance companies around the globe. From our headquarters in Berlin, our multilingual customer support and case management team provides a consistently professional service to providers, policyholders, and partners, ensuring smooth communication between all parties. Our global payment platform ensures low cost and reliable transfers of funds. With agile software we are able to efficiently manage claims with rigorous cost containment at every step. Finally, through a curated global provider network, Medigo provides useful add-ons such as second medical opinions and medical travel support. Medigo is supported by leading VCs such as Accel Partners and employs a driven team of 50+ people from 25 countries.
Offices: Berlin, Berlin 10119, DE
