Description
Job Summary:
We are seeking a professional to lead the billing department, ensuring quality, contractual compliance, and efficiency in medical billing management.
Key Highlights:
1. Leadership in hospital billing department
2. Team and medical billing processes management
3. Profitability analysis and strategic interface
Position located in Curitiba \- Bigorrilho
We seek a professional to lead the billing department, ensuring process quality, contract compliance, and efficiency in medical billing management.
**Main Responsibilities:**
* Management of the billing team, pre\-billing, guide authorization, and claim appeal processes;
* Configuration and updating of rules according to health insurance plans;
* Verification, billing, and closing of medical accounts within established deadlines;
* Monitoring of release timelines and ensuring their fulfillment;
* Issuance of invoices and submission of billing to health insurance operators;
* Monitoring of claim denials, management of appeals, and tracking of receivables;
* Control of KPIs and preparation of managerial reports;
* Interface with clinical support teams and assistance to the medical staff;
* Guidance to patients receiving private care;
* Analysis of drug profitability;
* Strategic collaboration with finance and procurement departments.
**Requirements:**
* Experience in hospital billing;
* Experience with health insurance plans and private accounts;
* Experience in team leadership;
* Knowledge of medical account analysis and contracts.
**Preferred Qualifications:**
* Experience in oncology or chemotherapy;
* Knowledge of hospital costs and KPIs;
* Proficiency in the Tasy system.
Employment Type: Full\-time, Permanent CLT
Compensation: R$100.00 \- R$200.00 per month
Benefits:
* Health and commercial discount plans
* Free parking
* Meal allowance
* Food voucher
* Transportation voucher
Experience:
* Hospital Billing Supervision (Mandatory)
Work Location: On\-site