Authorization Analyst

Description

Job Summary: Analyst responsible for evaluating and authorizing surgical processes, ensuring administrative auditing, and coordinating with medical teams and operators. Key Highlights: 1. Evaluate and authorize surgical procedures 2. Coordinate with medical teams and health insurance operators 3. Ensure administrative auditing of surgeries **Responsibilities and Duties** Evaluate all surgical procedures; receive requests directed by scheduling and nursing departments; perform administrative auditing of all surgical procedures according to contractual terms, aiming to include requests in the health insurance operator's system. Receive surgery requests, analyze procedures, and grant authorization via the authorization system and surgical scheduling system. Contact the medical team if any procedural discrepancies are identified and update the relevant system accordingly. Collaborate with the authorization team to ensure alignment of surgical procedures. Verify the surgical schedule 72 hours prior to surgery together with the team and suppliers, enabling daily checklist updates in the system. Monitor elective surgical procedures and review surgical materials agreed upon with health insurance operators. Monitor system usage through performance indicators; generate reports for guidance. **Requirements and Qualifications** * Currently pursuing or completed a Bachelor’s degree * Experience in requesting, analyzing, and closing surgical procedure requests * Experience in authorization within a hospital environment. If you aspire to achieve outstanding results alongside people who dream big, work collaboratively, and grow together, our corporate area is where you belong. To transform healthcare, we need: * Education: Currently pursuing or completed a Bachelor’s degree * Proficiency in computer applications * Excellent communication skills and attention to detail * Knowledge of AMB, TUSS, and related fee schedules \- ANVISA knowledge * Microsoft Office Suite **Additional Information** **Location: Maringá \- Paraná** Minimum Educational Requirement: Bachelor’s degree * TotalPass, a primary care clinic, with discounts on exams and vaccines * UAU Benefits Club and SESC benefits * Benefits may vary depending on the job location and brand. * Health Insurance and Life Insurance * Transportation Allowance and Performance Bonus (PPR) * Meal/Voucher or On-site Cafeteria (depending on location) * Career development, Technology/PMAX Academies, and the Crescer Program within Rede Américas * Health Program, structured around five pillars * Rede Américas University, Development Cycle * Telepsychology