Administrative Assistant

Description

Job Summary: We are seeking a professional to work in the Authorization Center, focused on streamlining health plan authorization processes and ensuring high-quality service delivery. Key Highlights: 1. Experience in Authorization Centers and information systems 2. Focus on results and teamwork 3. Commitment to improving people's quality of life For 86 years, the José Silveira Foundation has kept its gaze fixed on the future, continuously reinventing its practices in an unpredictable world while remaining firmly rooted in its core purpose: caring for people's health and improving their quality of life. Thus, we seek individuals who embrace innovation and wish to contribute to our ongoing growth and the perpetuation of our legacy. Join our purpose! **Responsibilities and Duties** * Review the pending items report and process them according to priority—based on health plan closure deadline, account value, and timeframe; * Receive pending authorization requests from the Billing Department; * Prepare medical opinion forms and submit them to the External Auditor; * Request extensions, procedures, OPME (Orthopedic, Prosthetic, and Medical Equipment), medications, or exams; * Identify the need for updated medical reports and retrieve them from the PEP system; * Monitor pending items until authorization is granted; * Forward cases involving delayed authorizations due to commercial negotiations to the Commercial Department; * Verify post-authorization details and authorize the MV billing slip; * Attach resolved pending items to the corresponding MV billing slip in the CLIPE system; * Close accounts after verifying authorization; * Release resolved pending items to the Billing Department. **Requirements and Qualifications** * Completed high school education; * Experience in Authorization Centers; * Ability to concentrate; * Organizational skills; * Discipline; * Initiative; * Strong communication skills; * Proficiency with information systems, preferably MV2000; * Good interpersonal skills; * Ability to interact effectively with external stakeholders; * Systemic understanding of the billing workflow; * Focus on results; * Teamwork orientation. **Additional Information** Availability to work from Monday to Saturday. Founded on February 21, 1937 by Professor José Silveira, the José Silveira Foundation (FJS) has expanded its mission through sustainable growth, anchored in strategic planning and a focus on optimal outcomes. As a nonprofit philanthropic institution, FJS primarily serves underserved populations, delivering high-quality services. This is demonstrated by the exemplary work of our units in areas such as tuberculosis control, neonatal care, humanized childbirth, breast cancer treatment, and rehabilitation of patients with neuropsychomotor, intellectual, and autism-related disabilities. Annually, FJS delivers over 1.2 million services. Additionally, FJS implements preventive and promotional health initiatives, as well as socio-environmental actions targeting communities in Salvador and municipalities across Bahia’s interior, contributing to improved social and health indicators across the state. **\#JoinFJS**