Description
Job Summary:
Coordinate hospital billing routines, supervise teams, and ensure compliance and efficiency of medical billing processes.
Key Highlights:
1. Coordinate healthcare billing routines.
2. Supervise medical billing teams.
3. Promote improvements in processes and systems.
**BILLING COORDINATOR POSITION \- CAMPO GRANDE/MS \#1117**
**RESPONSIBILITIES:**
* Coordinate all billing department routines across various types of care and services.
* Supervise the team during verification, classification, closing, and submission of bills, including professional fees.
* Ensure compliance with health insurance providers' regulations, rules, and deadlines.
* Ensure complete and accurate documentation of patient care, with proper coding, rates, supplies, medications, and procedures.
* Monitor claim denials and implement actions to reduce losses.
* Conduct critical analysis and final validation of bills prior to submission.
* Maintain communication with clinical and administrative departments to resolve pending issues.
* Monitor requests and authorizations for special procedures and supplies.
* Manage deadlines and ensure invoices are submitted within established timeframes.
* Track departmental performance and quality indicators.
* Provide technical training to the team on medical fee schedules and contractual rules.
* Propose improvements to processes, internal workflows, and system usage.
* And other duties inherent to the position.
**REQUIREMENTS:**
* Proven experience in hospital billing, with comprehensive knowledge of all medical billing routines.
* Experience analyzing, closing, and submitting bills to health insurance providers.
* Experience leading teams or supervising complex routines.
* Prior experience working with medical fee schedules.
* Experience in medium- or large-sized hospitals.
* Bachelor's degree in Administration, Hospital Management, Nursing, or related fields.
* Intermediate to advanced Excel proficiency.
**PREFERRED QUALIFICATIONS:**
* Postgraduate degree in Healthcare Management, Medical Auditing, Process Management, or related fields.
* Experience with Business Intelligence (BI) tools and performance indicators.
* Advanced knowledge of claim denials and audits.
**WE OFFER:** Salary of R$4\.800,00 \+ attendance bonus \+ transportation allowance
**WORK SCHEDULE:** Monday to Friday, 7:00 AM to 5:00 PM
Minimum Education Level: Bachelor's Degree