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You will be updated with latest job alerts via emailWe are looking for a detailoriented and multilingual professional to join our healthcare operations team as a Healthcare Claims Associate with fluency in German. The ideal candidate will be responsible for processing reviewing and validating healthcare claims in accordance with company policies and healthcare regulations. Fluency in German is essential as the role involves interpreting and processing claims originating from Germanspeaking regions.
Review verify and process healthcare claims using internal systems.
Analyze submitted medical documents and ensure compliance with insurance policies.
Translate and interpret medical and insurance documents from German to English and vice versa.
Communicate with Germanspeaking clients hospitals or insurance providers as required.
Identify and flag any inconsistencies or fraudulent claims.
Collaborate with internal teams to resolve claim issues and escalate when needed.
Maintain accurate records and documentation of all claim activities.
Ensure adherence to SLAs and quality metrics.
Bachelors degree in Healthcare Business Administration or a related field.
Fluency in German (B2/C1 level or higher) verbal and written.
1 4 years of experience in healthcare claims processing or insurance domain preferred.
Strong understanding of medical terminology and healthcare billing systems.
Familiarity with ICD CPT codes and healthcare regulations is a plus.
Excellent communication analytical and problemsolving skills.
Ability to work in a fastpaced and deadlinedriven environment.
Experience with tools like Facets QNXT or other claims adjudication systems is a plus.
Certification in German language (Goethe TestDaF or equivalent).
Experience working with European or German healthcare clients.
Full Time