Senior Authorization Analyst

Description

Job Summary: The professional will be responsible for financial analysis, issuance and analysis of payment statements, identification and monitoring of claim denials, and process adjustments. Key Highlights: 1. Analysis and monitoring of claim denials 2. Issuance and analysis of payment statements 3. Monitoring of adjustments and financial processes ###### **Job Details** * Employment Type: CLT (Permanent) * Professional Area: Finance * Workload: 200 hours * Working Hours: Monday to Friday, from 9 a.m. to 6 p.m./5 p.m. * Salary: R$ 3.247,09 * Work Mode: On-site ###### **Benefits** Transportation Allowance; Meal Allowance; On-site meals; Pharmacy Benefit Program; Health and Dental Insurance; Childcare Assistance; Attendance Incentive Program; Three Stars Program; Workplace Gymnastics; Birthday Day Off; Psychological Support - Wellz; ###### **Responsibilities and Duties** Issue payment statements for healthcare plans; Record receivables in the accounts receivable system using the healthcare plan return function, identifying unpaid items and accounts; Analyze payment statements for unpaid items, identify claim denials, file appeals according to healthcare plan contracts, and analyze all denial items to determine whether they qualify for appeal or are accepted denials; Input information into the Denial Tracking Spreadsheet for management oversight; Monthly analyze the denial report and present findings to management; Forward denials to respective departments for process adjustments and systemic errors; Monitor adjustments related to forwarded denials; Perform other duties of similar nature and complexity as assigned. ###### **Requirements and Qualifications** Agility; Attention to detail; Communication skills; Deadline adherence; Communication skills; Responsibility; Teamwork; Job Code: 106