Outpatient Services Manager (80%-100%)

Company Description

A locally rooted establishment firmly anchored in its region, Le Réseau de l’Arc offers comprehensive patient care.

It includes two hospital sites located in Moutier and Saint-Imier, six Medicentres, and the Biel Medical Center (Medizinisches Zentrum Biel). Its care offerings are complemented by an ambulance network, two nursing homes (EMS), two radiology institutes, a center for physical and cognitive therapies, as well as a home hospitalization service.

Thanks to its multidisciplinary expertise serving patients, Le Réseau de l’Arc provides high value-added medical services. With nearly 1,250 employees, it meets the medical and hospital needs of a population of approximately 80,000 inhabitants.

As part of the VIVA project, Le Réseau de l’Arc became the first fully integrated healthcare organization in Switzerland to offer a health insurance plan. The VIVA health plan is available to residents of the Jura Arc region, ensuring optimal and coordinated care.

Job Description

In this position, you actively contribute to the quality and reliability of outpatient billing. You are involved in the entire process, working closely with medical teams, nursing staff, and external partners.

Your main responsibilities are as follows:

• prepare invoices for outpatient patients and ensure their timely dispatch,
• process and justify billing refusals with insurance companies,
• respond professionally and service-oriented to requests and complaints from patients and insurers,
• participate in the development and improvement of billing forms in collaboration with doctors and nursing teams,
• perform regular checks and propose improvements on billed services,
• ensure the updating of service catalogs (TARDOC, physiotherapy, occupational therapy, laboratory, etc.),
• establish doctors’ fees with rigor and precision

Qualifications

You have a recognized commercial training and ideally solid experience in medical billing, enabling you to work independently and reliably.

You meet the following profile:

• Commercial employee CFC or equivalent qualification,
• Federal certificate in social insurance or health insurance is an asset,
• several years of mandatory experience in billing in a medical environment, with very good knowledge of TARMED, TARDOC, and outpatient flat rates,
• comfortable with common IT tools; knowledge of Opale is an advantage,
• initiative, ease of integration, and adaptability,
• ability to work independently, with anticipation, rigor, and discretion.

Additional Information

We offer a varied and stimulating activity within a dynamic and constantly evolving establishment. Our employees benefit from quality professional support as well as a collaborative and caring environment.

We pay particular attention to the diversity of life paths of our employees. Our positions are open to both women and men, in a spirit of inclusion and equal opportunity.

Start date:   Immediately or by agreement

Work locations:      Moutier / St-Imier / home office possible (1 day/week)