Description
Job Summary:
Professional to work in the health insurance billing area, with focus on interpersonal communication, organization, analysis, and problem solving.
Key Highlights:
1. Experience in health insurance billing (TUSS, CBHPM, XML, Brasíndice, SIMPRO)
2. Problem-solving and organizational skills
3. Innovation mindset and strong interpersonal communication skills
Description:
* Strong interpersonal communication skills;
* Experience in health insurance billing: TUSS classification system, CBHPM classification system, XML file import, Brasíndice, SIMPRO;
* Proficiency in written communication; computer usage; and knowledge of Microsoft Office suite, especially Excel;
* Being organized and analytical is essential;
* Problem-solving ability;
* Innovation mindset is a plus.
* Receiving mail pouches from units (health insurance invoices);
* Sorting received invoices by health insurance provider;
* Updating the institutional platform with information for each health insurance provider;
* Supporting units regarding specific requirements and rules of each health insurance provider;
* Registering, configuring, and updating health insurance providers and covered services \- in company systems;
* Performing summary verification of health insurance accounts: billing, XML submission, invoice issuance, and billing control via spreadsheets;
* Creating login credentials (usernames and passwords) for health insurance portals for staff at service units;
* Processing physician reimbursement/billing \- requesting invoices via e\-mail and subsequently entering invoices into systems;
* Providing necessary information for other departments’ control purposes: finance, accounting, medical billing, and billing;
* Submitting required documentation for closing new health insurance agreements.
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