Billing Clerk

Description

Job Summary: Responsible for organizing, analyzing, and verifying medical records, healthcare service forms, and patient registration cards; coding, billing, and issuing fiscal documents; managing claim denials; and maintaining communication with health insurance providers. Key Highlights: 1. Organization and analysis of medical records and healthcare service forms 2. Medical procedure coding and billing 3. Claim denial management and liaison with health insurance providers CLT Contagem / MG ##### **Description** Organize, analyze, and verify medical records, healthcare service forms, and patient registration cards to ensure information accuracy and coverage eligibility; Coding and Billing; Code and input medical procedures according to health plan fee schedules (e.g., AMB, CBHPM, TUSS) and current regulations (TISS standard); Fiscal Document Issuance: Issue invoices and manage receivables; Claim Denial Control: Monitor, analyze, and appeal claim denials (payment rejections) with health insurance providers to minimize financial losses; Liaison with Health Insurance Providers: Maintain direct contact with health plans to resolve pending issues, discrepancies in payment amounts, and monitor deadlines for submission and batch closing; Administrative Support: Assist at reception by verifying patient eligibility and ensuring that registration data is always up-to-date in the management system, among other routine tasks. ##### **Requirements** * Completed high school education / Proficiency in hospital coding systems (CBHPM, TUSS), supplementary health legislation (ANS) / Prior experience in medical or hospital billing departments. ##### **Benefits** * Transportation allowance * Meal allowance * Job posting date: 16/04/25026