What is the job of the medical insurance Commissioner?

The medical insurance Commissioner is the staff responsible for handling medical insurance affairs. Medical insurance specialist is a common recruitment position in medical institutions or medical equipment manufacturing companies. Employees should have college degree or above and relevant professional learning experience, be familiar with common office software, and understand national and local laws and policies related to medical insurance. Their duties include:

1, actively publicize the medical insurance policy and implement the medical insurance certificate system;

2, familiar with the scope of application of medical insurance, ensure the correct use of medical insurance;

3. Train relevant staff on medical insurance related knowledge;

4. Deal with various problems in the implementation of medical insurance in various departments, and get in touch with relevant departments in time to ensure the normal and orderly work of medical insurance;

5, responsible for medical insurance drugs and diagnosis and treatment directory data upload and check, make medical insurance statements submitted to the social security center.

Legal basis: Article 1 of the State Council's Decision on Establishing the Basic Medical Insurance System for Urban Workers.

Tasks and principles of reform

The main task of medical insurance system reform is to establish the basic medical insurance system for urban workers, that is, to adapt to the socialist market economic system and to establish a social medical insurance system to ensure the basic medical needs of employees according to the affordability of finance, enterprises and individuals.

The principles of establishing the basic medical insurance system for urban workers are: the level of basic medical insurance should be adapted to the development level of productive forces in the primary stage of socialism; All employers and their employees in cities and towns should participate in basic medical insurance and implement territorial management; The basic medical insurance premium is shared by both the employer and the employee; The basic medical insurance fund combines social pooling with individual accounts.