JUNIOR MEDICAL BILLING ANALYST

Description

Job Summary: We are seeking a Junior Medical Billing Analyst to perform analysis, auditing, and processing of medical bills, ensuring compliance and accuracy. Key Highlights: 1. Medical billing audit and technical analysis 2. Identification of inconsistencies and discrepancies 3. Supporting leadership in continuous process improvement Leve Saúde is a Rio de Janeiro-based health plan operator founded with the purpose of transforming how healthcare is delivered in Brazil. We believe that caring goes far beyond offering health plans — it means building relationships, truly listening, and being present throughout each person's health journey. From the outset, we have bet on a closer, more welcoming, and solution-oriented model. With our own teams and an integrated network, we deliver a lighter, more efficient, and patient-centered healthcare experience. **What Drives Us:** Making healthcare more human and accessible. Reducing bureaucracy and facilitating access to quality services. Leveraging technology as an ally to improve healthcare experiences and outcomes. **How We Do It:** Through our own clinics, ready to provide welcoming and efficient care. With a multidisciplinary team closely accompanying beneficiaries’ journeys. With an internal team committed to innovation, quality, and purpose. We are seeking a **Junior Medical Billing Analyst** to perform analysis, auditing, and processing of medical bills, ensuring compliance with technical healthcare regulations and guaranteeing accuracy in billing and payments for services rendered. We seek a professional committed to quality, operational efficiency, and process integrity. **Responsibilities and Duties** * Conduct medical billing audits and technical analyses, including medical records, authorizations for materials and medications, hospital fees, and physician fees; * Identify inconsistencies and discrepancies in billing, preparing reports and directing\-them to responsible departments for dispute resolution, justifications, and necessary adjustments; * Execute monthly closing of hospital and outpatient invoices; * Develop and monitor auditing department indicators; * Conduct **on-site audits**, when required, ensuring service delivery complies with contractual and regulatory standards; * Participate in thematic and technical committees, as needed and within scope of responsibilities; * Support leadership in related activities, contributing to continuous process improvement. **Requirements and Qualifications** * Completed undergraduate degree in **Nursing**; * Proven experience in auditing hospital and outpatient medical bills; * Technical knowledge of billing tables and regulations (TUSS, CBHPM, Simpro, Brasíndice); * Proficiency in billing rules for procedures, materials, medications, fees, and physician fees; * Proficiency with computer tools, especially Excel and hospital management systems. **Preferred Qualifications:** * Postgraduate degree in Healthcare Auditing, Hospital Management, or related fields; * Prior experience at health plan operators or medium-to-large hospitals; * Knowledge of ANS regulation and healthcare compliance practices; * Familiarity with BI tools and indicator analysis. **Additional Information** **Meal Voucher: BRL 42.00 per day (symbolic monthly deduction of BRL 1.00)** **Transportation Voucher** **Birthday Day Off** **Health Plan – no payroll deduction** **Dental Plan – no payroll deduction** **Total Pass – wellness and physical activity incentive** **Discounts at educational institutions** **Leve Mente Program – focused on emotional well-being** **Working Hours: Monday to Friday, from 9 AM to 6 PM** **One remote workday per week.** We are **Leve Saúde**, the healthtech operator that launched in Rio de Janeiro in September 2020, dedicated to people over 45 years old seeking quality healthcare at affordable prices. Our Operating Model rests on **three pillars**, reflecting our beliefs about healthcare management: * We believe **Digital Health** is an irreversible path that already has — and will increasingly have — an extraordinary impact on healthcare management. \- We believe the combination of **Primary Health Care** and Digital Health represents the perfect convergence of past and future. Both are fundamental ingredients for achieving the right to healthier longevity. * We believe having an **Owned Network** is the critical ingredient to complement our model, enabling us to guarantee personalized, humanized, compassionate, and solution-oriented care. You’ll find available opportunities on our page. We’re rooting for you!