Billing Assistant

Description

Job Summary: A professional responsible for processing and verifying SUS and private health insurance billing, managing systems, and providing interdepartmental support regarding billing. Key Highlights: 1. Processing and verification of SUS and private health insurance billing 2. Data management and entry into systems such as Tasy and financial systems 3. Internal departmental support and guidance on billing and systems **SUS Billing and Regulatory Processes** · Verify outpatient examinations submitted 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. · Verify patient attendance signature forms for submission to the Municipal Health Department. · Process BPA (Ambulatory Production Report) billing and transmit data to the Magnetic BPA System. · Process and validate the CIHA file (Ambulatory and Hospital Information Communication) for submission to competent authorities. **Private Health Insurance Billing and Financial Control** · Perform billing for Unimed outpatient services (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 with billed amounts, identifying discrepancies and adjusting records. **Systems and Data Entry** · Enter generated billing from the Tasy system into the Excel Billing Control spreadsheet, ensuring traceability and organization. · Input TX inclusion exams into the Tasy system. · Record receivables in the financial system, ensuring correct revenue accounting. **Interdepartmental Support** · Provide guidance and clarification to Nursing, GAC (Customer Service Management), and billing departments of 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