Description
Job Summary:
A professional responsible for medical billing, procedure authorizations, and denial monitoring, ensuring organization and efficiency in the department's administrative processes.
Key Highlights:
1. Medical billing and authorization tracking
2. Analysis and resolution of claim denials with a focus on continuous improvement
3. Coordination with teams to optimize information and processes
**Main Responsibilities:**
· Requesting and tracking procedure authorizations with health insurance providers
· Verifying performed appointments (schedule vs. medical record vs. billing forms)
· Analyzing and verifying medical billing forms (data, codes, authorizations, signatures, mandatory documents, validity, etc.)
· Medical billing for both insurance plans and private patients
· Submitting and tracking billing batches (TISS standard)
· Monitoring rejections and pending items with health insurance providers
· Managing billing deadlines to prevent revenue loss
· Supporting denial analysis and resolution
· Organizing physical and digital documents
· Coordinating with reception and clinical teams to correct information
· Supporting continuous improvement of departmental processes
· Assisting with departmental administrative tasks as needed
**Key Skills:**
· Attention to detail
· Proactivity
· Efficiency with quality
· Ability to learn quickly
· Capacity to handle large volumes of documentation
· Organization and discipline
**Requirements:**
· Completed high school education (college degree in progress is desirable)
· Experience in billing at clinics or hospitals
· Knowledge of medical insurance plans
· Familiarity with TISS standards
· Proficiency in Microsoft Office (especially Excel)
· Organization, attention to detail, and strong communication skills
**Preferred Qualifications:**
* Experience handling denial-related resources
* Knowledge of clinical management systems
* Experience processing high-volume billing
* Analytical mindset and sense of urgency
**Compensation Package:**
· Employment Type: CLT (Consolidation of Labor Laws)
· Approximate total monthly compensation: R$ 2.340,00 (comprising R$ 1.840,00 base salary + R$ 500,00 meal allowance)
· Additional Benefits:
o Transportation allowance
o Health insurance: partially funded by the company (Unimed)
o Childcare assistance
Job Type: Full-time CLT
Salary: R$1.840,00 per month
Benefits:
* Health insurance
* Meal allowance
* Transportation allowance
Work Location: On-site