Administrative Assistant (PCD)

Description

Job Summary: GEAP Saúde is seeking an Administrative Assistant to work in the supplementary health sector, within a solid company that values professional development and growth. Key Highlights: 1. Working for a solid and reputable company in the supplementary health market 2. Real opportunities for career growth 3. Recognition and support for professional development GEAP Self-Managed Health \| São Paulo \- SP \| On-site Job Description GEAP Saúde is looking for a professional to fill the position of Administrative Assistant. If you seek to work for a solid and reputable company in the supplementary health market—one that values professional development and offers real opportunities for growth—this could be your chance! Responsibilities and Duties * Analyze claims rejected by the system and resolve existing issues; * Verify charges for materials and medications after medical and nursing review, using specific pricing tables; * Distribute claims to medical auditors, prioritizing hospital admissions; * Assist physicians in analyzing and reviewing outpatient procedure claims; * Receive and forward appeals against claim denials to the appropriate department; * Send payment and denial reports to service providers, guiding them to conduct online inquiries; * Return medical records and duplicate invoices to the provider network; * Monitor the invoice management system to identify pending items and entries; * Analyze information regarding improper payments to service providers and perform reversals when necessary; * Receive, analyze, initiate case files, and forward service providers’ appeals against claim denials; * Track the status of claim denial appeals through the corporate system and prepare documentation for approved appeal payments. Requirements and Qualifications * Completed High School education; * Proficiency in Microsoft Office Suite; * Experience in administrative routines. Desirable Requirements * Currently pursuing or having completed a Bachelor’s degree. Salary Range R$ 4\.610,52 Employment Type CLT (Consolidated Labor Laws) Benefits * Meal/Ticket Allowance (R$ 1\.900,00\); * Comprehensive Health and Dental Plan for family members; * Private Pension Plan with equal employer-employee contribution; * Group Life Insurance; * Birth Assistance Benefit \- R$ 473,40; * Daycare Assistance – R$ 710,13 (for children up to 7 years old); * School Assistance – R$ 212,20 (for children aged 7 to 12); * 180-day Maternity Leave; * 20-day Paternity Leave; * Breastfeeding Leave (2 hours per day for breastfeeding during the first 6 months after returning from Maternity Leave); * Christmas Basket Allowance worth R$1\.445,40; * Cultural Voucher – R$ 50,00 (for employees earning up to 5 minimum wages); * Gym Assistance – reimbursement of R$100,00 upon submission of proof of monthly membership payment, after the probationary period; * Birthday Day Off; * Securities Professional Day Off (third Monday of October). About the Company Since 1945, GEAP has promoted health for federal, state, and municipal public servants, establishing itself as one of the largest self-managed health organizations in Brazil. Present nationwide with over 400,000 beneficiaries, GEAP is a benchmark in comprehensive care grounded in transparency, equity, and well-being. GEAP has a strategic plan extending to 2030, focused on modernization, sustainability, and growth.