Job Summary: Grupo Fácil is seeking a professional to analyze and manage reimbursement requests, ensuring efficiency and accuracy in healthcare-related processes. Key Highlights: 1. Receive and analyze reimbursement requests from beneficiaries 2. Evaluate and process requests related to network unavailability 3. Issue monthly reports for reimbursement accountability **JOIN A TEAM DRIVEN BY EVOLUTION!** At Grupo Fácil, evolution is the driving force that inspires us to continuously grow, innovate in our processes, and exceed expectations every day. With a trajectory marked by solidity and responsibility, we have built our story while maintaining our purpose of generating real value for our customers — always with committed people, collaboration, and a results-oriented focus. **Responsibilities and Duties** * Receive and analyze reimbursement requests submitted by clients' beneficiaries via portal, mobile app, or e\-mail; * Register in the portal or CRM those requests eligible for medical or dental audit; * Request client evaluation of specific protocols before finalizing the process; * Evaluate and process requests related to network unavailability originating from the client; * Receive and assess inquiries regarding doubts or complaints about the reimbursement process; * Evaluate, analyze, and monitor reimbursement requests for controlled medications; * Evaluate, analyze, and process reimbursement requests for vaccines; * Issue monthly reports to the client regarding reimbursement accountability and communicate the closing of the reporting period. **Requirements and Qualifications** * Completed High School education; * Proficiency in Microsoft Office Suite; * Basic computer skills; * Experience in the healthcare sector; * Knowledge of medical fee schedules: AMB \- CBHPM \- TUSS – TISS; * Knowledge of materials and pharmaceuticals schedules: SIMPRO and Brasíndice. **Additional Information** In addition to being part of a collaborative and continuously evolving team, you will enjoy a comprehensive benefits package designed to support your health, well\-being, and professional development: * Medical and dental assistance; * Meal allowance via iFood Multibenefícios card; * Profit Sharing Program (PLR), based on the company's annual performance goals; * Partnership with Wellz, a platform focused on mental health and well\-being; * Partnership with Wellhub, providing access to gyms and wellness activities; * Life insurance; * Partnerships and discounts with educational and language institutions; * Corporate University, offering professional development learning paths; * Access to Alura platform, subject to availability; * Pharmacy benefits (Belo Horizonte and metropolitan region); * Transportation allowance. All our job openings are inclusive. Here, diverse individuals collectively build the evolution of Grupo Fácil.
João Silva
Indeed · HR
João Silva
Indeed · HR
