Spezialist:in Heilkosten stationär 80 - 100 % — Suva

Full description

What you do

• You check stationary cost statement applications for their medical causality as well as compliance with the tariff basics.
• You work closely with our internal medical specialists: female and female doctors. In addition, you are in exchange with hospitals and social insurance companies and carry out the case-related investigations.
• You are responsible for the audit and release it or reject it with justification.
• Our internal offices and external service providers advise and support you in performance management.
• You support process management in the further development and optimization in the stationary area.
• You work in a virtual, cross-location team. What you bring
• You have a degree as a qualified nurse HF. You have already worked in an acute hospital.
• You understand the Swiss healthcare sector with its actors.
• Ideally, you already have knowledge of tariff systems (Swiss DRG, TARPSY and ST Reha), as well as experience with health or accident insurance.
• Your impeccable knowledge of German is ideally supplemented by good knowledge of French (B1-B2).