Job Summary: Coordinate the hospital and outpatient revenue cycle, supervise audits, and manage administrative teams to ensure process compliance and quality. Key Highlights: 1. Coordinate the hospital and outpatient revenue cycle 2. Supervise medical billing audits and claim denials 3. Manage administrative teams We are Rede Américas, a multi-platform healthcare assistance network committed to delivering comprehensive, precisely tailored care for health. We are seeking talents who believe it is possible to provide the best and most advanced healthcare assistance. If you are passionate about caring and believe in quality medicine, join Rede Américas! We are committed to Diversity! We encourage applications from all individuals who recognize the importance of building an environment free from prejudice, harassment, and discrimination. Together, we always deliver our best. Important: We do not charge any fees during our selection processes. **Responsibilities and Duties** **Responsibilities and Duties:** * Coordinate the hospital and outpatient revenue cycle (billing, verification, closing, and submission). * Supervise medical billing audit and claim denial processes, ensuring technical and contractual compliance of services; * Monitor revenue cycle performance indicators, proposing corrective actions and improvements. * Interface with health insurance operators regarding claim denials, appeals, negotiation of pending items, and alignment of workflows; * Manage the administrative team (billing, auditing, authorization, and support to clinical areas). * Control deadlines and quality of hospital and outpatient bill submissions, ensuring revenue predictability; * Collaborate with accreditation, controller, and treasury departments to align information and processes; * Ensure compliance with contractual regulations of health plans and current legislation (ANS, TISS, etc.); * Support and supervise administrative routines at the advanced unit (patient flow, interface with medical teams and reception); * Coordinate the implementation and improvement of administrative and systemic processes, primarily via TASY (or other applicable system); * Develop management reports and support executive decision-making; * Conduct training and capacity-building sessions for the administrative team to standardize and enhance process quality; * Ensure document organization and traceability of operational and financial information. **Requirements and Qualifications** **Requirements and Qualifications:** * Completed bachelor’s degree in Administration, Hospital Management, Accounting Sciences, or related fields; * Experience in hospital and outpatient billing (revenue cycle); * Solid knowledge of medical billing, fee schedules (TUSS, CBHPM, AMB), TISS forms, and health plan rules; * Experience analyzing and handling claim denials and medical billing audits; * Experience coordinating administrative teams; * Proficiency in hospital management systems (preferably Tasy); * Knowledge of ANS regulations and legislation applicable to the supplementary health sector; * Ability to prepare management reports and monitor performance indicators; * Intermediate or advanced Excel proficiency. **Desirable Requirements:** * Postgraduate degree in Hospital Management, Health Auditing, Finance, or related fields; * Experience in environments with multiple health plans and negotiations with health insurance operators; * Familiarity with outpatient unit or advanced clinic routines. **Additional Information** Location: Campinas - SP Work Schedule: Monday to Friday, 08:00–17:00 Work Model: On-site By caring for our people, we will become the healthcare that people desire and the world needs—check out our benefits: * Nutrition Care: Meal Allowance or On-site Cafeteria (according to location); * Health Care: Health Insurance and Life Insurance; * Development Care: Career and Development Cycle, Technology/PMAX Academies, and Crescer Program; * Others: Transportation Allowance **Only Rede Américas offers – Health Program, based on 5 pillars:** * Spiritual: yoga, meditation, and mindfulness; * Physical: Totalpass, primary care clinic, discounts on exams and vaccines, Acolhe Trans Program, Gestar Program, and Mais Leve Program; * Relational: UAU Benefits Club, SESC benefits; * Emotional: Telepsychology, Parent Support Group, and Support Network – TEA and STOP – Support for victims of domestic violence and harassment. * **Benefits may vary depending on the job location and brand.** We are Rede Américas, **a multi-platform healthcare assistance network**, committed to delivering comprehensive, precisely tailored care for health. We are seeking **talents who believe it is possible to provide the best and most advanced healthcare assistance.** **If you are passionate about caring and believe in quality medicine, join Rede Américas!** **We are committed to Diversity!** We encourage applications from all individuals who recognize the importance of building an environment free from prejudice, harassment, and discrimination. Together, we always deliver our best. ***Important: We do not charge any fees during our selection processes.***