Description
Job Summary:
Professional to handle hospital authorization routines, bill analysis, communication with health insurance providers, and deadline monitoring.
Key Highlights:
1. Knowledge of hospital admission authorization (elective, emergency, clinical)
2. Experience with hospital authorization department routines
3. Relationship management with health insurance providers and healthcare plans
Desired Profile
\* Knowledge of hospital admission authorization (elective, emergency, clinical);
\* Familiarity with TUSS/CBHPM fee schedules;
\* Knowledge of OPME (preferred);
\* Familiarity with health insurance provider systems (e.g., UNIMED, SCSAUDE, and other healthcare plans)\- Preferred
\* Excel proficiency (preferred);
\* Knowledge of Tasy system (preferred);
Job Description
\* Hospital authorization department routines;
\* Execution of hospital authorization processes (pre-admission, post-admission, elective);
\* Analysis of billing reports to identify authorization requirements;
\* Communication with health insurance providers and healthcare plans;
\* Collection of documentation and medical reports;
\* Monitoring and tracking of authorization deadlines.
Working Hours: Monday to Thursday: 7:00 AM – 5:00 PM; Friday: 7:00 AM – 4:00 PM.
Send resume to: vagas@cssaosebastiao.com.br
Employment Type: Full-time
Compensation: R$2\.520,00 \- R$2\.840,00 per month
Work Location: On-site