Medical Insurance Post

Job Responsibilities

1. Study, understand and implement national, provincial and municipal health laws and regulations , various medical insurance policies, and do a good job in hospital policy interpretation and training
2. Use statistical methods to analyze the data related to DRG payment in the hospital to optimize medical insurance payment and hospital resource allocation strategies
>3. Responsible for implementing precise fee control for each case based on DRG
4. Supervise the accuracy of medical insurance settlement list data under DRG
5. Communicate and coordinate effectively with the Medical Insurance Bureau and relevant departments within the hospital
6. Assist department heads to manage daily affairs and complete other tasks assigned by leaders.

Qualifications

Education: Bachelor's degree
Work experience:
1. More than 2 years of medical insurance-related experience in a secondary hospital, with information-related exposure Priority will be given to those with experience
2. Responsible, strong communication skills, and high organizational and coordination skills
3. Proficient in common office software such as EXCEL, PPT, WORD, and able to flexibly use statistics-related Software (such as SPASS, etc.) is preferred.
Required majors: Statistics, Hospital Management, Medical Insurance, Medical Informatics, Clinical Medicine
Other requirements: null
Language requirements: None