Description
Job Summary:
Work integrally within the billing cycle, ensuring accurate information flow, identifying inconsistencies, and proposing continuous improvements to processes.
Key Highlights:
1. Integrated operation across all sectors of the billing cycle
2. Financial loss prevention and continuous process improvement
3. Support in implementing automation and systemic controls
**Job Description:**
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· Operate integrally across all sectors of the Billing Cycle, ensuring correct information flow from admission through to receipt. · Conduct assessments, verifications, and analyses of processes impacting billing presentation. · Identify failures, inconsistencies, and bottlenecks in billing submission and receipt processes. · Provide operational support for Billing Cycle routines, ensuring adherence to deadlines and contractual rules. · Monitor and manage outstanding billing items, extensions, and releases with health insurance operators. · Track and follow up on inputs required for extensions and system data entry (e.g., clinical reports, schedules, tokens, authorizations). · Prevent financial losses resulting from operational failures, missing documents, or registration inconsistencies, using reports that flag errors for resolution. · Propose continuous improvements to Billing Cycle processes and workflows. · Support implementation of automation and systemic controls to increase efficiency and reduce risks. · Prepare and monitor control reports and KPIs related to the Billing Cycle. · Serve as a liaison point among departments involved in the billing cycle.
**Mandatory Requirements:**
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Required: Experience in the Healthcare sector;
Report preparation and analysis;
Knowledge of billing tables (AMB, CBHPM,
Brasíndice, Simpro, and proprietary tables);
Familiarity with commercial agreements and systemic configuration;
Familiarity with authorization and extension procedures;
Basic understanding of billing.
**Desirable Requirements:**
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Microsoft Office Suite (Intermediate/Advanced)
**Employment Type:**
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CLT
**PwD (Persons with Disabilities):**
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NOT APPLICABLE
**Salary:**
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$4,400\.00
**Benefits:**
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* Amil Health Insurance;
* Amil Dental Insurance;
* Education Assistance;
* On-site meals;
* Birthday Day Off;
* Annual Bonus;
* Discounts at partner companies;
**Work Location:**
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SOLAR MATRIZ
**Working Hours:**
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DAILY