Billing Assistant

Description

Job Summary: Professional responsible for maintaining up-to-date health insurance and SUS billing, enabling institutional cash flow forecasting. Key Highlights: 1. Essential role in institutional cash flow forecasting 2. Full management of health insurance and SUS billing 3. Contribution to standard operational procedures Professional responsible for keeping billing (health insurance and SUS) updated, enabling institutional cash flow forecasting. **Education/Experience:** * Completed high school or coursework in administration, accounting, financial management, or related fields; * Hospital experience preferred. **Responsibilities:** * + Maintain confidentiality of SAME (Medical Records Service) documents and disclose them only in cases pre\-determined by the Institution's internal procedures; + Contribute to updated Standard Operating Procedures \- "SOPs". + Contribute, if necessary, to verification of physician fee payments and execute physician remittance via MV SOUL system. + Perform reconciliation of health insurance payments versus account items in the MVSOUL system. + Verify account items against information contained in medical records, close accounts, transmit XML files to insurers, and prepare physical accounts for submission. + Monitor SUS and supplementary health auditors, conducting investigations into identified discrepancies; + File appeals against SUS and supplementary health claim denials; + Verify SUS reports; submit SUS reports to SMSA (Municipal Health Secretariat); + Perform verification and closure of medical records (SUS); + Manage SUS patient procedures (rehabilitation, long-term care, and clinics); + Execute general SUS / health insurance billing; + Verify health insurance claim forms; + Forward documents to SAME (Medical Records Service) archive; + Participate in committees and/or nuclei; + Provide efficient and effective administrative and/or clinical support to the originating unit and branches whenever redeployment is identified as necessary by the Paulo de Tarso Network. + Perform other related, inherent, and similarly complex tasks associated with this position and organizational environment.