Administrative Assistant (Billing)

Description

Job Summary: A professional responsible for controlling and analyzing medical bills, ensuring compliance with contracts and health insurance provider manuals, and coordinating the billing process. Key Highlights: 1. Control and analysis of full and partial accounts, ensuring deadlines. 2. Billing and verification of medical record documents and authorizations. 3. Account closure and interaction with health insurance providers and internal departments. * Monitor full and partial accounts with internal departments to ensure timely delivery; * Receive medical records and surgical kits from clinical departments; * Receive documents from support services (third parties); * Receive reports and forms from service departments; * Analyze contracts, manuals, and notifications issued by health insurance providers that govern billing procedures; * Learn and follow the Medical Billing Department's manuals and procedures (SOPs); * Analyze medical record documents to perform pre-billing; * Verify that all entries comply with physical documentation and authorizations; * Perform account cleanup after internal nursing audit; * Immediately close private accounts according to protocols and budgets, informing the final amount to the treasury department; * Conduct final account verification, matching charges against authorizations, releasing the process for on-site audit and/or closure; * Perform account cleanup after on-site audit by the health insurance provider; * Close accounts in accordance with each health insurance provider's submission manual; * Submit service requests to support departments (commercial, registration, IT, etc.); * Send documents to health insurance providers and track return receipts (ARs) for billing and collection control; * Digitize health insurance providers' payment receipts for financial and denial control; * Send all medical records and service reports to the archives department, properly registered. Minimum Education: Bachelor's Degree