Description

Joining Assura means evolving in a dynamic environment where everyone plays an essential role and contributes to a meaningful mission. Every day, we put our energy and expertise at the service of our clients, to support them in their health decisions. Want to join us? Then, nice to meet you!Hospital SpecialistWithin our team dedicated to the processing of hospital files, you play a central role by ensuring the precise management of hospital expense invoices sent by our insured persons and hospital establishments every day. Your goal? To guarantee rigorous and compliant processing according to legal requirements, while supporting insured persons at every stage of their hospital stay thanks to clear, reliable, and professional advice that you provide on a daily basis.You process LCA coverage guarantees. In addition, you check requests received from healthcare providers and verify their compliance with legal and contractual provisions, particularly regarding lists of hospitals, out-of-canton stays, or the principle of prior authorization. If necessary, you request additional medical information and make decisions on granting or refusing coverage. You also ensure reliable processing of LAMal and LCA invoices. This includes checking hospital invoices, mainly LCA supplements, the right to benefits according to the law and the contract, as well as the correct settlement of benefits for insured persons. Furthermore, you ensure the processing of requests and inquiries from insured persons. You respond to written requests, accompany and advise insured persons by phone, and provide information to insured persons as required. Finally, you take charge of various tasks such as accident declarations or capital payments in connection with semi-private/private insurance.The contribution you bring to the teamHolder of a commercial diploma or in the health field with good knowledge of insurance and medical terminology, you are perfectly comfortable with current tools. You demonstrate a solid analytical mind that allows you to process files with precision and autonomy. Your attention to detail and your ability to make quick decisions allow you to approach your work with efficiency and confidence. Recognized for your team spirit and your respect for rules, you know how to establish fluid communication with your colleagues. Flexible and organized, you adapt easily to changing priorities while maintaining exemplary rigor in all your activities.Your benefits- 40-hour work week (at 100%)- Minimum 5 weeks of vacation- Possibility of monthly contribution to travel expenses if public transport subscription- Social benefits and significant reduction on health insurance- Welcome programInternal entry date: June 1st or by agreementActivity rate: 100% jid2a56e24aen jit0416aen jpiy26aen