Job Summary: Leve Saúde is seeking a professional to handle medical service billing, eligibility analysis, claim follow-up, and bank reconciliation, while contributing to improvements in financial processes. Key Highlights: 1. Operational model focused on humanized and accessible healthcare. 2. A company in constant growth that values collaboration and dialogue. 3. An opportunity to work at an innovative healthtech. Leve Saúde is a Rio de Janeiro-based health plan operator founded with the **purpose of transforming how healthcare is delivered in Brazil**. We believe that caring goes far beyond offering health plans — it means building relationships, truly listening, and being present throughout each person’s journey. From the outset, we have invested in a closer, more welcoming, and solution-oriented model. With our own teams and an integrated network, we deliver a lighter, more efficient, and patient-centered healthcare experience. **What drives us:** * Making healthcare more human and accessible. * Reducing bureaucracy and facilitating access to quality services. * Leveraging technology as an ally to improve healthcare experiences and outcomes. **How we do it:** * Through our own clinics, ready to provide welcoming and efficient care. * Through a multidisciplinary team closely accompanying beneficiaries’ journeys. * Through an internal team committed to innovation, quality, and purpose. We are a company in constant growth, and every team member is an essential part of this journey. Here, we believe in collaboration, dialogue, and the power of doing things differently. **Responsibilities and Duties** * Process billing for medical services, exams, and procedures performed at our own clinics; * Validate procedures according to current fee schedules (TUSS, CBHPM, proprietary or contractual tables); * Analyze eligibility, authorizations, and contractual rules of health insurance providers; * Generate and transmit files in TISS standard format; * Monitor and resolve claim denials, filing appeals when necessary; * Maintain communication with reception, clinical services, finance, and medical auditing departments; * Issue service invoices (NFS\-e) for the Health Plan Operator; * Record and verify physician reimbursement invoices in the system; * Perform bank reconciliation, ensuring correct classification of banking transactions in the system. * Collaborate with Treasury and Accounting teams on month-end closing and audit routines. * Support standardization and improvement of financial processes, pursuing efficiency and control. **Requirements and Qualifications** * Completed high school; undergraduate studies preferred; * Prior experience in medical billing and medical claims auditing is desirable; * Intermediate Excel proficiency; * ERP system knowledge is desirable — preferably Tasy (Philips). * Organized, committed, proactive, and analytical profile, with strong communication skills and sense of priority. We are **Leve Saúde**, the healthtech operator that launched in Rio de Janeiro in September 2020, dedicated to individuals aged 45 and above seeking high-quality healthcare at affordable prices. Our Operational Model rests on **three pillars**, reflecting our beliefs about healthcare management: * We believe **Digital Health** is an irreversible path that already has — and will increasingly have — an extraordinary impact on healthcare management. \- We believe the combination of **Primary Healthcare** and Digital Health represents the perfect convergence of past and future. Both are fundamental ingredients for achieving the right to healthier longevity. * We believe having an **Own Network** is the critical ingredient complementing our model, as it enables us to guarantee personalized, humanized, compassionate, and solution-oriented care. You’ll find available opportunities on our page. We’re rooting for you!
João Silva
Indeed · HR
João Silva
Indeed · HR
