We have an opportunity to work as a **Junior Audit Assistant**, with working hours from 8:00 AM to 6:00 PM Monday through Thursday and from 8:00 AM to 5:00 PM on Friday, in the **Hospital Audit** department. **Responsibilities and duties** * Evaluate health insurance provider contracts to analyze claim denials and support denial appeals. * Understand and interpret health insurance provider fee schedules (for handling denials and supporting appeals). * Analyze, verify, reconcile, post, compare information, handle tasks in the MVSOUL system, and submit appeals via health insurance providers' websites. **Requirements and qualifications** **Requirements:** * High school diploma or currently pursuing higher education is preferred. * Proficiency in Microsoft Office suite. * Minimum of 2 years of experience in administrative auditing of hospital accounts (minimum experience in denial appeal handling). **Preferred qualifications:** * Ability to critically analyze denials issued by health plans; * Strong argumentation and evidentiary basis for denial appeals; * Ability to draft denial appeals; * Knowledge of contractual rules (Unimed and various other health plans); * Familiarity with fee schedules (CBHPM, proprietary schedules, Brasíndice, and Simpro); * Dynamic, communicative, and proactive personality; * Good interpersonal skills; * Knowledge of Hospital Management Systems (**MV SOUL)**; **Additional information** **We offer the following benefits:** * Health insurance plan * Dental insurance plan * Transportation allowance * On-site meal benefit * Food basket * Life insurance * Partnerships with educational institutions * SESC and TAUÁ membership benefits * Wellhub (Gympass) **Our DNA is a blend of innovation, passion, and commitment.** This essence goes beyond our projects — it lives within each one of us. We are over 4,000 people united by the same mission: **caring for people** safely, competently, and excellently. **Comprehensive Care Synergy** With over 7 decades of history, we have become a reference in delivering comprehensive healthcare, excelling in high-complexity procedures including neurological and cardiac surgeries, organ transplants, and minimally invasive techniques — especially robotic surgery. Offering more than 40 medical specialties, **we invest in cutting-edge technology and highly qualified professionals** to ensure the best treatment for every person who trusts our 30+ services. **People are the heart of Felício Rocho** Our hearts beat strongest when caring for people. We believe that to care effectively, we must rely on **the strength of diversity and the ability to drive progress.** We recognize that innovative thinking and creative solutions to make our hospital thrive emerge only through the plurality of ideas, experiences, and perspectives. For us, diversity and inclusion are serious, fundamental commitments to our organizational culture. Felício Rocho not only values diversity in all its forms but also strives to create opportunities so that **every voice is heard and every individual is respected in their authenticity.** **City of Health:** Located on Avenida do Contorno in Belo Horizonte, Hospital Felício Rocho operates, in addition to its main campus, six additional units, recognized references in: * Andradas Unit * CEAP Unit (Center of Excellence in Primary Care) * Goitacazes Unit * Platina Unit * Prado Unit * Uberaba Unit So, does our Rocho Way resonate with you? Then **\#JoinRocho**
João Silva
Indeed · HR
João Silva
Indeed · HR
