Case Handler Medical Aids and Technology

DAK-Gesundheit is one of Germany's largest health insurers. The aids specialist centers decide on benefits for medical and nursing aids and coordinate work with service providers. The goal is economical, high-quality care for insured people. The position is based in Wetzlar.

• Advising and informing insured people about aids benefits, focusing on diabetes care and oxygen and ventilation therapy
• Checking 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 aids care
• Careful documentation of decisions and transparent communication with insured people and partners

• Completed training as a medical assistant (MFA) and/or in the healthcare sector (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 aids care, medical care or a comparable field
• Medical understanding and the ability to professionally assess medical prescriptions, care concepts and aids provision
• Understanding of medical, business and social insurance law matters (SGB V) and the ability to make benefit decisions considering quality, economic efficiency and legal requirements, or to acquire this knowledge quickly
• Confident use of MS Office (Word, Excel, Outlook), ideally with experience in health insurance or administrative systems, and a structured, independent, responsible and service-oriented way of working with strong communication skills
• German skills at least at level C1