Description
Job Summary:
Professional responsible for processing SUS and private health insurance billing, managing systems, and supporting departments in financial and regulatory routines.
Key Highlights:
1. SUS and regulatory billing processing (APAC, BPA, CIHA)
2. Private health insurance billing, issuance and reconciliation of invoices
3. Data entry and control in systems such as Tasy and Excel
**SUS Billing and Regulatory Processes**
· Verify outpatient examinations sent by Santa Isabel Hospital, billed via APAC.
· Process SUS billing and transmit files to the Magnetic APAC System, in accordance with Ministry of Health requirements.
· Review attendance signature forms prior to submission to the Municipal Health Secretariat.
· Process BPA (Ambulatory Production Report) billing and transmit data to the Magnetic BPA System.
· Process and validate the CIHA file (Ambulatory and Hospital Information Report) for submission to competent authorities.
**Private Health Insurance Billing and Financial Control**
· Process outpatient billing for Unimed (SADT Form).
· Issue invoices to private health insurers based on payment statements.
· Send duplicate invoices to Accounting as needed.
· Reconcile private health insurer payment statements against billed amounts, identifying discrepancies and adjusting records.
**Systems and Data Entry**
· Enter billing generated in the Tasy system into the Excel Billing Control spreadsheet, ensuring traceability and organization.
· Input TX inclusion examinations into the Tasy system.
· Record receivables in the financial system, ensuring accurate revenue accounting.
**Interdepartmental Support**
· Provide guidance and clarification to Nursing, GAC (Customer Service Management), and billing teams from branch offices and headquarters.
· Serve as a technical and operational support point for questions related to billing and utilized systems.
Job Type: Full\-time
Pay: R$2,800\.00 \- R$3,000\.00 per month
Work Location: In person