Senior Billing Analyst

Description

Job Summary: Finance professional to organize and execute activities in the authorization department, responding to requests and demands while ensuring service quality. Key Highlights: 1. Finance operations with focus on procedure authorization 2. Responsible for analysis, billing, and closure of medical accounts 3. Generation and monitoring of reports and audits ###### **Job Details** * Employment Type: CLT (Permanent) * Professional Area: Finance * Working Hours: 200h * Salary: R$ 3\.247,09 ###### **Benefits** Transportation Allowance; Meal Allowance; On-site meals; Pharmacy Benefit; Health and Dental Plan; Childcare Assistance; Attendance Program; Three Stars Program; Birthday Day Off; Psychological Support \- Wellz ###### **Responsibilities and Duties** Job Mission Organize and execute authorization department activities, including authorizing procedures performed at the institution with health insurance providers, responding to interdepartmental requests and demands, verifying audited accounts, to ensure smooth departmental operations and service quality. Responsibilities Perform billing department activities as assigned; Conduct analysis, billing, and closure of medical accounts, including private patients, health insurance providers, and other requirements; Perform various entries in the internal computerized system; Import XML files according to each health insurance provider and attach medical accounts; Receive output from other departments; Organize, verify, sort, register, and forward documentation to health insurance providers and internal audits; Communicate with medical teams to request medical justifications, physician fee collections, and related matters; Request invoices (NFs) from responsible departments; Scan and copy documents (medical accounts); Release, calculate, print, and verify hospital bills; Monitor and perform necessary procedures related to departmental/section audits; Generate and clear health insurance receivables; Issue, control, review, and validate appeal documents for claim denials, as assigned; Assist colleagues by providing guidance on matters related to the department; Generate various reports; Send medical account reports to outsourced services; Submit blood bag usage forms to Hemosc; Perform other duties of similar nature and complexity related to the position, as assigned. ###### **Requirements and Qualifications** 2 years of experience Computer literacy (Office suite) Specific systems relevant to the field of operation Job Code: 190