




Job Summary: Professional responsible for organizing and executing activities in the authorization and billing department, ensuring proper progress of services. Key Highlights: 1. Experience in the financial sector 2. Focus on organization and execution of procedures 3. Guarantee of service quality ###### **Job Details** * Employment type: CLT (Permanent) * Professional area: Finance * Working hours: 200h * Salary: R$ 3\.247,09 ###### **Benefits** Transportation allowance; Meal allowance; Meals on site; Pharmacy benefit; Health and dental insurance; Childcare assistance; Attendance incentive program; Three Stars Program; Birthday day off; Psychological support \- Wellz ###### **Responsibilities and Duties** Job Mission Organize and execute activities in the authorization department, authorizing procedures performed at the institution with health plans, responding to requests and demands from departments, verifying audited accounts, to ensure smooth operations within the department and high-quality services. Responsibilities Execute billing department activities as assigned; Perform analysis, billing, and closing of medical accounts, private accounts, health plan accounts, and other related needs; Perform various entries in the internal computerized system; Import XML files according to each health plan and attach medical accounts; Receive output from other departments; Organize, verify, sort, register, and forward documentation to health plans and internal audits; Communicate with medical teams to request medical justifications, bill medical fees, and related matters; Request invoices (NFs) from responsible departments; Scan and copy documents (medical accounts); Release, calculate, print, and verify hospital accounts; Monitor and perform necessary procedures related to departmental/sector audits; Generate and clear health plan receivables; Issue, control, review, and validate appeal documents for claim denials, as assigned; Support colleagues by providing guidance on matters related to the department; Generate various reports; Send medical account reports to third-party service providers; Submit blood bank usage forms to Hemosc; Perform other tasks of similar nature and complexity related to the position, as assigned. ###### **Requirements and Qualifications** 2 years of experience Computer skills (Microsoft Office suite) Specific systems relevant to the field of work Job Code: 190


