Junior Release Assistant

Description

Job Summary: A professional responsible for managing hospital admission authorizations, monitoring health plan requests, and overseeing billing processes. Key Highlights: 1. Management of procedure and OPME authorizations 2. Monitoring requests with health insurance providers 3. Experience in hospital reception and Authorization Center **WORK SCHEDULE:** Monday to Thursday, from 9:00 AM to 7:00 PM; Friday, from 9:00 AM to 6:00 PM. **RESPONSIBILITIES:** * Print the census report, verify that all admissions are registered in the department, and follow up with the Admission Department regarding missing admission forms. * Submit authorization requests on health insurance providers' websites for inpatients' events (procedures, OPME, daily rates, visits, enteral/parenteral nutrition, exams, and high-cost materials/medications). * Monitor urgent procedure and OPME requests for inpatients three times per day or as needed—cases where the patient awaits authorization before undergoing the procedure. * For other events—including emergency procedures where authorization requests are submitted post-event—monitor daily on health insurance providers' websites for authorization responses; after five business days, follow up with the health plan provider for a response. * Monitor contractual expiration dates of accounts. * Track health insurance auditors' visit schedules and billing submission deadlines to define departmental priorities. **REQUIREMENTS:** * Experience in hospital reception; * Experience in Hospital Authorization Center is desirable; * Experience with the Tasy system is desirable; * Knowledge of standard TISS forms and various fee schedules (CBHPM, TUSS, etc); * Basic Microsoft Office package. Employment Type: Permanent CLT Benefits: * Medical assistance * Dental assistance * Commercial agreements and discounts * Meal allowance * Transportation allowance Experience: * Standard TISS forms and fee schedules (CBHPM, TUSS, etc)? (Preferred) Work Location: On-site