Description
Job Summary:
We are seeking a Junior Medical Billing Analyst to perform analysis, auditing, and processing of medical bills, ensuring compliance and accuracy.
Key Highlights:
1. Medical billing audit and technical analysis
2. Identification of inconsistencies and discrepancies
3. Supporting leadership in continuous process improvement
Leve Saúde is a Rio de Janeiro-based health plan operator founded with the purpose of transforming how healthcare is delivered in Brazil. We believe that caring goes far beyond offering health plans — it means building relationships, truly listening, and being present throughout each person's health journey.
From the outset, we have bet on a closer, more welcoming, and solution-oriented model. With our own teams and an integrated network, we deliver a lighter, more efficient, and patient-centered healthcare experience.
**What Drives Us:**
Making healthcare more human and accessible.
Reducing bureaucracy and facilitating access to quality services.
Leveraging technology as an ally to improve healthcare experiences and outcomes.
**How We Do It:**
Through our own clinics, ready to provide welcoming and efficient care.
With a multidisciplinary team closely accompanying beneficiaries’ journeys.
With an internal team committed to innovation, quality, and purpose.
We are seeking a **Junior Medical Billing Analyst** to perform analysis, auditing, and processing of medical bills, ensuring compliance with technical healthcare regulations and guaranteeing accuracy in billing and payments for services rendered. We seek a professional committed to quality, operational efficiency, and process integrity.
**Responsibilities and Duties**
* Conduct medical billing audits and technical analyses, including medical records, authorizations for materials and medications, hospital fees, and physician fees;
* Identify inconsistencies and discrepancies in billing, preparing reports and directing\-them to responsible departments for dispute resolution, justifications, and necessary adjustments;
* Execute monthly closing of hospital and outpatient invoices;
* Develop and monitor auditing department indicators;
* Conduct **on-site audits**, when required, ensuring service delivery complies with contractual and regulatory standards;
* Participate in thematic and technical committees, as needed and within scope of responsibilities;
* Support leadership in related activities, contributing to continuous process improvement.
**Requirements and Qualifications**
* Completed undergraduate degree in **Nursing**;
* Proven experience in auditing hospital and outpatient medical bills;
* Technical knowledge of billing tables and regulations (TUSS, CBHPM, Simpro, Brasíndice);
* Proficiency in billing rules for procedures, materials, medications, fees, and physician fees;
* Proficiency with computer tools, especially Excel and hospital management systems.
**Preferred Qualifications:**
* Postgraduate degree in Healthcare Auditing, Hospital Management, or related fields;
* Prior experience at health plan operators or medium-to-large hospitals;
* Knowledge of ANS regulation and healthcare compliance practices;
* Familiarity with BI tools and indicator analysis.
**Additional Information** **Meal Voucher: BRL 42.00 per day (symbolic monthly deduction of BRL 1.00)**
**Transportation Voucher**
**Birthday Day Off**
**Health Plan – no payroll deduction**
**Dental Plan – no payroll deduction**
**Total Pass – wellness and physical activity incentive**
**Discounts at educational institutions**
**Leve Mente Program – focused on emotional well-being**
**Working Hours: Monday to Friday, from 9 AM to 6 PM**
**One remote workday per week.**
We are **Leve Saúde**, the healthtech operator that launched in Rio de Janeiro in September 2020, dedicated to people over 45 years old seeking quality healthcare at affordable prices.
Our Operating Model rests on **three pillars**, reflecting our beliefs about healthcare management:
* We believe **Digital Health** is an irreversible path that already has — and will increasingly have — an extraordinary impact on healthcare management.
\- We believe the combination of **Primary Health Care** and Digital Health represents the perfect convergence of past and future. Both are fundamental ingredients for achieving the right to healthier longevity.
* We believe having an **Owned Network** is the critical ingredient to complement our model, enabling us to guarantee personalized, humanized, compassionate, and solution-oriented care.
You’ll find available opportunities on our page. We’re rooting for you!
Full-time
Onsite
Jequié,Bahia
