




Job Summary: Professional responsible for hospital account billing, verifying documentation, issuing TISS forms, and analyzing and resolving claim denials, ensuring compliance with regulatory and contractual requirements. Key Highlights: 1. Essential experience in hospital billing. 2. Focus on analysis and resolution of claim denials. 3. Ensures compliance with health insurance plan regulations and rules. Human Resources Consulting seeks a Hospital Billing Assistant in São Gonçalo (Nova Cidade). Estela Campos RH is a company specialized in talent recruitment and selection. Focused on connecting professionals with top market opportunities, it offers customized solutions for companies across diverse sectors. **Responsibilities:** Perform hospital account billing (inpatient, emergency, and outpatient services). Verify medical records, forms, authorizations, and required documentation for submission to health insurance plans. Issue and organize TISS forms according to health plan operator requirements. Analyze and resolve technical and administrative claim denials. Submit appeals for claim denials to health plan operators. Monitor deadlines for submission, resubmission, and payment. Verify fee schedules (CBHPM, AMB, Brasíndice, SIMPRO – as applicable). Support control and closing of billing batches. Maintain tracking of pending items and monitoring reports. Ensure compliance with ANS regulations and health insurance plan contractual rules. Position based in São Gonçalo / RJ. Previous roles such as Hospital Collections Assistant, Medical Billing Assistant, Health Billing Analyst, or Hospital Billing Coordinator may indicate alignment with some responsibilities of this position. High school diploma required. Relevant experience required. **Compensation and Benefits:** * Salary: 1\.800,00 * Benefits disclosed during the interview stage. **Additional Information:** * Employment Type: Permanent \- On-site. * Duration: Full-time. * Schedule: Monday to Friday and alternate Saturdays. Business hours.


