BILLING AUDIT ANALYST

Description

CaptaMed is a specialist in extra-hospital healthcare and is committed to developing and implementing innovative solutions that improve patients' and their families' quality of life. We operate with excellence, consistently leading healthcare system transformations, and seek professionals committed to our culture of care, innovation, and results. The Billing and Audit Analyst will be responsible for ensuring the accuracy of billing and auditing processes, strategically analyzing medical claims, managing claim denial appeals, and overseeing internal and external audits. This professional will also play a key role in strengthening process quality and compliance, supporting the team and contributing to continuous improvement. If you wish to grow within a collaborative, dynamic, and continuously improving environment, this opportunity may be right for you! **Responsibilities and duties** * Process billing for procedures performed under assistance programs, in accordance with contractual rules of health insurance providers. * Analyze and validate invoice closing, ensuring accuracy when submitting invoices to health insurance providers. * Guide the team on analysis of billing documents and protocols. * Provide technical justification during health insurance provider claim audits and manage necessary follow-up actions. * Analyze justified and unjustified claim denials, initiating appeals where applicable. * Support the development and updating of indicators, flowcharts, and internal procedures. * Respond to internal and external audits, managing incident and non-conformance resolutions. * Comply with safety, quality, and applicable legislation related to activities. **Requirements and qualifications** * Completed undergraduate degree in healthcare-related fields. * Preferred: Postgraduate specialization in Healthcare Auditing. * Mandatory professional experience in the healthcare sector. * Preferred experience in home care services, internal/external audits, and knowledge of supplementary health legislation and sanitary surveillance. * Proficiency in Microsoft Office Suite. **Additional information** * Working hours from 8:00 AM to 6:00 PM (Monday to Friday), leaving your evenings and weekends free! * Meal allowance (BRL 22.00 per workday). * Breakfast and afternoon coffee provided by us. * Transportation voucher (6% payroll deduction). * Health and dental insurance plans. * 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 established with a clear purpose: to deliver well-being, security, and excellent care to patients in the comfort of their homes. We specialize in extra-hospital healthcare and, for over 20 years, have focused on humanized, efficient, and accessible care—always placing each patient’s dignity and individuality at the center of decision-making. Today, we serve more than 5\.000 patients across Brazil, consolidating our operations with high-quality clinical care 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 nationwide coverage enables us to deliver localized, effective, and responsive care while maintaining the excellence standard that defines us. **Our commitment to continuous improvement is recognized through important certifications such as:** ONA – National Accreditation Organization 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