(Exclusive) Specialist KVG / Health Insurance & Spitex 80?1 / Permanent

About the job

Introduction

On behalf of our client, a renowned and rapidly growing Spitex organisation with a friendly corporate culture and an innovative care model for family carers, we are seeking an experienced, analytically strong and assertive individual to strengthen the health insurance management team.

Type of Work

In this varied and responsible role, you will independently review and process benefit refusals, rejections and reductions by Swiss health insurers. You analyse the relevant facts, assess the prospects of success and prepare well-founded reconsideration requests taking into account the legal basis. You consistently pursue outstanding benefit claims, clarify billing discrepancies and ensure correct and timely remuneration of provided care services.
As a competent specialist, you maintain close contact with health insurers, nursing professionals and internal departments. You coordinate the procurement of relevant documents, monitor ongoing procedures and ensure complete documentation. Furthermore, you identify optimisation potential and actively contribute to the further development of internal processes in benefits and billing.
Our client offers you a varied, specialised role with a high degree of personal responsibility and scope for initiative in a dynamic, growing company. You will benefit from a collegial corporate culture, short decision-making paths, attractive employment conditions and long-term development opportunities.

Requirements Profile

To be successful in this exciting role, you have completed commercial or comparable training, ideally supplemented by further education in health insurance. In addition, you bring several years of professional experience in the benefits area of a Swiss health insurer or in a comparable role on the provider side. Sound knowledge of the KVG as well as ideally the KVV and KLV is required. Experience in benefit assessment, reconsideration requests and in the field of outpatient care is advantageous. You possess strong analytical skills, negotiation skills and a healthy assertiveness. An independent, structured working style, high initiative and confident German language skills complete your profile. Do you also consider yourself a communicative, persistent and team-oriented personality with a healthy sense of humour? Then we should meet soon.
Would you like to apply your experience in health insurance in a growing company? Do you appreciate an independent role where you can apply your expertise purposefully and make a difference with your commitment? Then we look forward to receiving your complete application documents (CV, certificates and diplomas) addressed to Mr Jan Lucarelli, Sr. HR Consultant, jan.lucarelli@evergreen-hr.ch.