Description
Job Summary:
Perform activities in the billing department, including analyses, collections, referrals, and account closures, organizing and managing documentation to generate revenue.
Key Highlights:
1. Perform billing and account closing activities
2. Conduct analyses and collections for health insurance agreements
3. Manage documentation to generate revenue
###### **Job Details**
* Employment type: CLT (Permanent)
* Professional area: Finance
* Workload: 200 hours/month
* Working hours: Monday to Friday, from 8:00 AM to 5:00 PM
* Salary: R$ 3.247,09
* Work modality: On-site
###### **Benefits**
Transportation allowance;
Meal allowance;
On-site meals;
Pharmacy benefit plan;
Health and dental insurance;
Childcare allowance;
Attendance incentive program;
Three Stars program;
Birthday day off;
Psychological support – Wellz
###### **Responsibilities and Duties**
Job Mission
Perform billing department activities, including analyses, collections, referrals, and account closures; organize, issue, and manage documentation to correctly execute departmental procedures as assigned and generate institutional revenue.
Responsibilities
Issue payment statements for health insurance agreements;
Apply payments to accounts receivable using the health insurance return function; identify unpaid items and accounts;
Analyze payment statements for unpaid items, identify claim denials, file appeals according to health insurance agreements, and analyze all denial items to determine whether they qualify as appeals or accepted denials;
Record information in the Denial Tracking Spreadsheet for management oversight;
Monthly analyze the denial report and present findings to management.
Forward denials to respective departments for process adjustments and systemic error corrections;
Monitor resolution of forwarded denials;
Perform other duties of similar nature and complexity related to the position, as assigned.
###### **Requirements and Qualifications**
Computer skills (Microsoft Office suite)
Relevant legislation and regulations
Budgeting
Billing systems
Job ID: 173