As Medical Case 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 healthcare service provider that helps insurance companies and other organizations navigate the global healthcare system. Our curated global medical provider network, proprietary claims management software, and experienced claims team make us a go-to partner for companies from around the world. Medigo is supported by leading VCs such as Accel Partners and Atlantic Labs, and employs a driven and international team. Join us and become a part of our mission: to provide global access to quality healthcare.