Description
Job Summary:
Supervise billing routines, closing of medical accounts, issuance of invoices, and negotiations with health insurance operators, in addition to managing teams and processes.
Key Highlights:
1. Supervise and optimize billing and medical accounts processes.
2. Conduct strategic negotiations with health insurance operators.
3. Manage and develop the billing team.
**MAIN RESPONSIBILITIES:**
1 \- Supervise the billing department's routine activities.
2 \- Supervise the closing of medical accounts for all services provided by the Institution, aiming to improve billing processes and meet all demand generated within the period.
3 \- Supervise and/or issue invoices for services rendered, ensuring control over remittance batches and issued invoices.
4 \- Lead negotiations, jointly with the administrative and financial manager, with health insurance operators and the municipal health secretariat regarding fee schedules, plans, values, etc.
5 \- Supervise and/or update fee schedules and values in the management system according to their validity periods, ensuring accurate medical account billing.
6 \- Lead and/or supervise internal and external customer service, aiming for transparency of information and clarification of all inquiries.
7 \- Standardize the Institution's billing department processes and procedures.
8 \- Monitor billing routines for private patients, health insurance plans, outpatient, and inpatient services.
9 \- Prepare private surgery budgets via e\-mail and telephone.
10 \- Evaluate health insurance plan contracts.
11 \- Manage the billing team through conflict resolution, routine organization, and staff development.
12 \- Participate in the selection process for positions related to this area, including completing new employee experience evaluation forms and providing feedback.
13 \- Supervise and/or perform cash handling and release funds to the finance department.
14 \- Supervise the claim denial process and denial rate.
Compensation: R$4\.000,00 \- R$6\.000,00 per month
Benefits:
* Medical assistance
* Dental assistance
* Life insurance
* Meal allowance
* Transportation allowance
Work Location: On-site