BILLING AND AUTHORIZATION ASSISTANT

Description

Job Summary: The Billing and Authorization Assistant will handle the authorization of medical procedures and billing of hospital accounts, ensuring achievement of set targets. Key Highlights: 1. Authorize medical procedures and bill hospital accounts. 2. Support month-end closings to ensure achievement of revenue targets. 3. Safeguard the confidentiality of medical record information. We are seeking a **BILLING AND AUTHORIZATION ASSISTANT** to join our billing team at Cetus Oncologia S.A. **Responsibilities and Duties:** * Perform the process of authorizing medical procedures and/or billing hospital accounts and submitting invoices, while supporting month-end closings according to internal procedures and defined schedules, aiming to meet established revenue targets. * Cross-check the chemotherapy schedule against the treatment map and close consultation and treatment accounts. Perform closing verification of administered treatments for billing purposes and submit XML files to health insurers. * Complete and organize documentation required for submission to health insurers for authorization. * Safeguard the confidentiality of medical record information. * Coordinate with physicians to obtain reports, test results, and supplementary documents requested by health insurers for chemotherapy treatment authorization. * Submit pre-authorization requests for scheduled and urgent procedures to health insurers via email, web portals, or fax. * Request, modify, and update access credentials (usernames and passwords) as needed. * Monitor health insurer portals for authorization approvals. * Cross-check the chemotherapy schedule to track authorization status. * Consider the patient’s oncological treatment plan when requesting subsequent authorizations. * Inform all relevant departments about approved procedures, as well as those under review or denied. * Update daily in the management system the status of authorizations (approved, denied, pending). * Receive and verify documentation for authorized procedures prior to submitting service forms for patient care. **Education:** Completed high school. **Preferred:** Bachelor’s degree completed or in progress. **Knowledge Required:** Authorization of health insurer procedures and medical account billing. **Working Hours:** Monday–Thursday: 08:00–18:00; Friday: 08:00–17:00 (1-hour lunch break). **Benefits:** Transportation allowance (VT), meal voucher (VR), pharmacy benefit plan, health insurance, dental insurance, birthday leave, benefits club, attendance card, and Gympass. Interested candidates should send their resume with the job title in the subject line to: trabalheconosco@mira.bhz.br Join our team!! ?