Senior Billing Analyst

Description

Job Summary: The professional will organize and execute authorization department activities, responding to requests and demands from other departments, and verifying audited accounts to ensure service quality. Key Highlights: 1. Organize and execute authorization activities in the finance department 2. Perform analysis, billing, and closing of medical accounts 3. Generate, control, and review appeal documents for claim denials ###### **Job Details** * Employment Type: CLT (Permanent) * Professional Area: Finance * Working Hours: 200 hours/month * Salary: R$ 3\.247,09 ###### **Benefits** Transportation Allowance; Meal Voucher; On-site meals; Pharmacy Benefit Program; Health and Dental Insurance; Childcare Assistance; Attendance Incentive Program; Three Stars Program; Birthday Day Off; Psychological Support \- Wellz ###### **Responsibilities and Duties** Job Mission Organize and execute authorization department activities, including authorizing procedures performed at the institution with health insurance providers, responding to requests and demands from other departments, and verifying audited accounts to ensure smooth departmental operations and high-quality services. Responsibilities Execute billing department activities as assigned; Perform analysis, billing, and closing of medical accounts, including private patients, health insurance providers, and other requirements; Perform various entries in the internal information system; Import XML files according to each health insurance provider and attach medical accounts; Receive output from other departments; Organize, verify, sort, register, and forward documentation to health insurance providers and internal audits; Communicate with medical teams to request medical justifications, bill medical fees, and related matters; Request invoices (NFs) from responsible departments; Scan and copy documents (medical accounts); Release, calculate, print, and verify hospital bills; Monitor and carry out necessary procedures related to departmental/unit audits; Generate and reconcile health insurance receivables; Issue, control, review, and validate appeal documents for claim denials as assigned; Support colleagues by providing guidance on department-related matters; Generate various reports; Send medical account reports to third-party service providers; Submit blood bag usage forms to Hemosc; Perform other duties of similar nature and complexity related to the position as assigned. ###### **Requirements and Qualifications** 2 years of experience Computer skills (Microsoft Office suite) Industry-specific software systems Job Code: 190