Job Summary: Professional responsible for verifying and validating the billing of procedures and supplies, ensuring qualified revenue recognition for services rendered and preventing claim denials. Key Highlights: 1. Focus on excellence in patient care. 2. Responsibility for validating charges and procedures. 3. Detailed analysis to justify the use of materials and medications. Description: What we are looking for: * Professional aligned with our mission of excellence in patient care. What you need to have: * Completed Technical Nursing course; * Active and up-to-date COREN registration; Additional Information: * Hospital experience is a plus. * Working hours: 8:00 AM to 6:00 PM * Shift schedule: 5x2\. * Work mode: On-site Responsible for verifying and validating the billing of procedures and supplies used in patient care, in accordance with contracts and institutional policies established with health insurance operators, the Department of Health, as well as private patients, aiming to ensure qualified revenue recognition for services rendered. Main Responsibilities: * Analyze procedures and supplies billed on the hospital bill based on the patient's medical record documents, ensuring accurate billing consistent with clinical documentation and signed contracts; * Validate authorizations for procedures, exams, and high-cost materials/medications and OPME (Orthoses, Prostheses, and Special Materials) to prevent administrative claim denials; * Identify evidence in the patient's medical record to justify the use of materials and medications that are not always inherent to the procedures. 2512120202501240023
João Silva
Indeed · HR
João Silva
Indeed · HR
