Medical Billing Processing Assistant (Temporary)

Description

Job Summary: We are seeking a professional with strong interpersonal skills, proactivity, and willingness to take on challenges to analyze and process strategic medical bills. Key Highlights: 1. Position to cover maternity leave 2. Focus on analysis and processing of strategic medical bills 3. Opportunity to identify systemic and procedural improvements If you possess strong interpersonal skills, enjoy learning, and are willing to tackle challenges, this position is for you! Position to cover maternity leave. **Responsibilities and Duties** * Verify and evaluate medical bills related to the portfolio of accredited providers classified as “strategic” due to complexity, billing volume, or relevance to the company; * Analyze inconsistent data through contract tables, preventing improper charges and payments; * Record approved “Strategic” medical bills in the information system, completing the appropriate process closure and forwarding them to the responsible payment area; * Contact accredited providers from the “Strategic” portfolio or other internal departments to resolve pending issues and/or discrepancies, guiding them toward necessary corrections and resubmission for processing (when required), enabling process completion; * Apply claim denials in the information system when data and cost discrepancies are identified after bill review, providing observations on denial reasons directly within the system to ensure process completion and notification to the accredited provider; * Prepare and submit biweekly or monthly Claim Denial Reports to Immediate Supervision, supporting monitoring of medical bill processing; * Identify opportunities for systemic and/or procedural improvements to ensure better operational performance and improved financial results for the company. * Adhere to specific schedules, observing respective deadlines and essential procedures for process closure; * Understand PASA – Vale’s Retiree Health Assistance Plan – offerings, aiming to promote awareness and clarify questions regarding the Association among retirees and employees of Vale Group companies; * Be accountable for the quality, reliability, and performance of resources, services, and information generated by tasks under your responsibility. **Requirements and Qualifications** * Completed high school education; * Proficiency in Microsoft Office Suite; intermediate Excel preferred; * Experience with Medical Billing Processing Information Systems; * Basic knowledge of Health Plan Tables; * Experience in processing hospital, outpatient, and medium-complexity medical bills, with minimum 24 months of relevant experience. **Additional Information** **Additional Information:** * Transportation Voucher (VT) provided as needed, with 4% salary deduction; * Meal Voucher (VR) of BRL 19.90 per workday, with 5% deduction on the provided amount; * Health Plan (member only) with fixed deduction of BRL 0.01, Amil 400 QC National; * Life insurance at no cost. We are an Association people can trust — trusting their lives, families, and futures. We offer an exclusive benefit delivering attentive, high-quality service to everyone who has been or currently is part of Vale. The exclusivity of having more than just a health plan has a name: PASA. Vale’s Retiree Health Assistance Plan (PASA) was established in 1991 to ensure that Vale’s retirees and their families continue enjoying top-tier healthcare. The operator exceeded all expectations and became a successful initiative in the self-management segment. Our mission is "**To deliver the best care with the utmost compassion**" We act in a welcoming manner and strive to make everyone feel safe and confident being part of PASA. Our goal is to enable each person to fully enjoy life without concerns about accessing healthcare. Through the joint efforts of over 300 employees, we work to ensure that members and users have access to the most advanced medical innovations at the lowest possible cost — enabling PASA to successfully fulfill the mission entrusted to it by its visionary founders. Our main objectives for the coming years are: * Caring for people * Leadership in healthcare management * A sustainable institution * Customer at the center