Job Summary: Perform analytical and operational billing tasks, focusing on verification, claim auditing, and supporting the reduction of claim denials. Key Highlights: 1. Process billing for health insurance plans and private patients 2. Conduct basic claim audits and manage deadlines 3. Support monthly billing closing and report submission Perform analytical and operational billing tasks, focusing on verification, claim auditing, and supporting the reduction of claim denials. Assist in analyzing performance indicators and management reports, ensuring compliance and adherence to established deadlines. * Process billing for health insurance plans and private patients under direct supervision, ensuring accurate data verification prior to submission. * Manage and organize physical and electronic claims, verifying authorizations, stamps, signatures, and mandatory documents. * Enter patient, claim, and value information into the billing system, ensuring data consistency. * Monitor health insurance plan responses and record simple claim denial pending items. * Support monthly billing closing and submission of production reports. * Communicate with health insurance plans to clarify questions or correct inconsistencies. * Support reconciliation between billing and finance departments, ensuring information alignment. * Conduct basic claim audits and verify compliance with the company's defined posting standards. * Adhere to compliance policies, LGPD regulations, and ANS guidelines. * Maintain updated tracking of billing deadlines and batches.
João Silva
Indeed · HR
João Silva
Indeed · HR
