Job Summary: Analyze hospital accounts, verify discrepancies, check medications and procedures, conduct retrospective audits, and collaborate with hospital departments to improve processes. Key Highlights: 1. Hospital account analysis and auditing 2. Teamwork for continuous improvement 3. Supporting and conducting team training You are applying for one of the positions available at Rede Américas. Our Talent Acquisition and Selection team will carefully review your profile, and if it aligns with this position, we will contact you to proceed with the process. In the meantime, please keep your information updated and complete all steps so we can get to know you better. **Important:** We do not charge any fees during our selection processes. **Responsibilities and Duties** * Analyze hospital accounts to ensure compliance with performed services; * Verify discrepancies between billed procedures and actual services rendered, correcting potential errors or improper charges; * Check medications and procedures used/performed against justification/evidence in the electronic medical record; * Perform retrospective audits in the system; * Report non-conformities and request adjustments to medical records; * Suggest improvements to increase departmental operational efficiency; * Collaborate with hospital departments to contribute to process improvements, cost reduction, and uphold institutional values; * Support, assist, and lead training sessions for the audit team to promote continuous improvement, process alignment, and team development. **Requirements and Qualifications** * Nursing degree with active and valid COREN registration; * Administrative experience or familiarity; * Willingness to learn; * Knowledge of nursing care techniques; * Strong verbal/written communication skills, teamwork ability, and proficiency in daily deliverables. **Desirable Requirements:** * Postgraduate degree in Hospital Auditing (completed or in progress); * Familiarity with Brazilian coding systems: Brasíndice, Simpro, TUSS, AMB, SIGTAP; * Experience or familiarity with claim denial analysis processes; * Knowledge of the Tasy system. **Additional Information** **Location** \- **Maringá, PR** **We care for our people so that we become the healthcare that people desire and the world needs—check out our benefits:** * Nutrition support: Meal Voucher/Food Voucher or on-site cafeteria (depending on location); * Health support: Health Insurance and Life Insurance; * Development support: Career and Development Cycle, Technology/PMAX Academies, and Crescer Program; * Others: Transportation Voucher. **Only Rede Américas offers—the Health Program, based on 5 pillars:** * Spiritual: Yoga; * Physical: TotalPass, primary care clinic, discounts on exams and vaccines; * Relational: UAU Benefits Club, SESC benefits; * Emotional: Telepsychology. * **Benefits may vary depending on the job location and brand.** We are Rede Américas, **a multiplatform healthcare assistance network**, committed to delivering comprehensive, precisely tailored healthcare. We are seeking **talents who believe it is possible to deliver the best and most advanced healthcare assistance.** **If you are passionate about caring and believe in quality medicine, join Rede Américas!** **We are committed to Diversity!** We encourage applications from all individuals who recognize the importance of building an environment free of prejudice, harassment, and discrimination. Together, we always deliver our best.
João Silva
Indeed · HR
João Silva
Indeed · HR
