Billing Audit Coordinator

Description

CaptaMed is a reference in outpatient healthcare. Our mission is to develop and implement, with excellence, innovative solutions that transform care, promoting improved quality of life for patients and their families. Here, we work with dedication, ethics, and a results-oriented focus, always leading healthcare system transformations. As the **Billing Audit Coordinator**, you will be responsible for leading retrospective, concurrent, and prospective audit processes, ensuring billing accuracy and team deliverable quality. Your role will be critical in ensuring medical account compliance, managing claim appeal processes, preparing management reports, guiding and training the team, and directly engaging with health plans and partners during technical audits. If you seek an opportunity within a collaborative team grounded in strong values—and one that values human and professional development—this position is for you! **Responsibilities and Duties** * Coordinate billing audit processes according to health plan contractual rules. * Ensure accuracy in invoice submission and document analysis. * Lead and monitor the team, promoting training, feedback, and continuous development. * Provide technical arguments during health plan audits, both at headquarters and branch locations. * Prepare management reports on claim denials and financial reconciliations. * Actively participate in recruitment, selection, development, and performance management of the team. * Support other coordinators on topics related to billing audit. * Implement and maintain practices aligned with the Quality Management System. **Requirements and Qualifications** * Completed undergraduate degree in healthcare-related fields. * Preferred: Postgraduate specialization in Healthcare Auditing. * Proven experience in healthcare auditing and billing. * Experience in internal and external audits is a plus. * Proficiency in Microsoft Office and management systems (preferably IW/Incoway System). * Willingness to travel (for training and audits). * Effective leadership and interpersonal relationship skills. * Assertive communication and strategic vision. **Additional Information** * Meal allowance (BRL 22.00 per workday). * Breakfast and afternoon coffee provided by us. * Transportation allowance (6% payroll deduction). * Health and dental insurance. * SESC membership. * Gympass (Wellhub). * Birthday Day Off. * Extended marriage leave. * Up to 40% discounts at partner universities. Founded in 2003 in Minas Gerais, **CaptaMed** was born with a clear purpose: delivering well-being, security, and excellent care to patients in the comfort of their homes. We are specialists in outpatient healthcare and, for over 20 years, have focused on humanized, efficient, and accessible care—always placing the dignity and individuality of each patient at the center of every decision. Today, we serve more than 5\.000 patients across Brazil, consolidating our operations through high-quality clinical assistance and ethical commitment. **We operate 16 strategically located units nationwide:** In addition to our headquarters in Belo Horizonte (MG), our units are present in: Ipatinga (MG) Viçosa (MG) Brasília (DF) Palmas (TO) São Luís (MA) Vitória (ES) São José do Rio Preto (SP) Montes Claros (MG) Porto Alegre (RS) São Paulo (SP) Santos (SP) Uberlândia (MG) Ribeirão Preto (SP) Goiânia (GO) Campinas (SP) Juiz de Fora (MG) This extensive network enables us to provide nearby, effective, and locally tailored care—while maintaining the excellence standard that defines us. **Our commitment to continuous improvement is recognized through key certifications such as:** ONA – National Organization for Accreditation NewPalex These recognitions reinforce our constant pursuit of safe processes, efficient management, and high-standard care! **\#JoinCaptaMed** Do you identify with our approach to care? Then \#JoinCaptaMed