Medical Aids Manager with Focus on Medical Technology

The DAK-Gesundheit medical aids specialist centers decide on benefits for medical and nursing aids and manage cooperation with service providers. The goal is economical, high-quality care for insured people. The work location is Münster.

• Advising and informing insured people about medical aids benefits, focusing on diabetes care and oxygen and ventilation therapy
• Reviewing medical prescriptions and cost estimates from service providers
• Deciding on approval, rejection or adjustment of care by type and scope
• Managing and supporting the whole care process from application to billing
• Coordinating with service providers, contract doctors, the Medical Service and internal departments
• Ensuring compliance with contractual rules
• Contributing to measures for quality and cost-effectiveness of medical aids supply
• Careful documentation of decisions and transparent communication with insured people and partners

• Completed training as a medical assistant (MFA) and/or in healthcare (KiG), further training as a healthcare and social services specialist (IHK) or a comparable medical qualification
• Very good knowledge or practical experience in diabetes care and/or oxygen care of patients
• At least 2 years of relevant work experience in medical aids supply, medical care or a comparable field
• Medical understanding and the ability to professionally assess medical prescriptions, care concepts and aids supply
• Understanding of medical, business and social insurance law matters (SGB V) and the ability to make benefit decisions considering quality, cost-effectiveness and legal requirements, or to quickly acquire such knowledge
• Confident use of MS Office (Word, Excel, Outlook), ideally with experience in health insurance or administration systems, and a structured, independent, responsible and service-oriented way of working with strong communication skills
• German skills at least at C1 level