Job Summary: The Billing Analyst is responsible for analyzing, verifying, and processing hospital bills, ensuring compliance and operational efficiency to reduce claim denials. Key Highlights: 1. Positively impact public health in Brazil 2. Contribute to the humanization and efficiency of healthcare delivery 3. Analyze and process hospital bills to ensure accurate billing **About the Company:** We are an organization committed to transforming public healthcare in Brazil by delivering excellence in services, with a focus on humanization, efficiency, and sustainability. Our goal is to guarantee dignity in care and health rehabilitation, always guided by ethics, transparency, and commitment to quality. **Why Join Us?** By becoming part of our team, you will contribute to transforming Brazil’s public healthcare system, delivering high-quality care to thousands of Brazilians. **Responsibilities and Duties** **Brief Job Description – Billing Analyst** Responsible for analyzing, verifying, and processing hospital bills to ensure accurate billing for services rendered, as well as compliance with regulations, contracts, and institutional procedures. Manages billing performance indicators, analyzes results, identifies inconsistencies, and implements process improvements to ensure efficiency, quality, and reduction of claim denials. **Main Activities:** * Receive, verify, and organize documents and information required for hospital bill processing. * Analyze medical records, referral forms, procedures, materials, and medications used, ensuring all information is accurately recorded for billing purposes. * Process hospital bills in accordance with contracts, fee schedules, and regulations set by health insurance providers and other agreements. * Monitor billing and departmental performance indicators, analyze results, and propose process improvements. * Identify inconsistencies or discrepancies in hospital bills and make corrections prior to submission for billing. * Track and analyze claim denials received from health insurance providers, prepare appeals and action plans to reduce financial losses. * Prepare reports and controls related to billing to support management decision-making. * Organize and maintain up-to-date documentation and records related to billing and audits. * Participate in internal and external audits related to the billing department, providing necessary information and documentation. * Support standardization and continuous improvement of billing department processes. * Collaborate with clinical, audit, and finance departments to ensure data quality and accurate billing for services rendered. * Monitor and analyze patient satisfaction surveys and indicators related to service delivery and billing, contributing to process improvement. **Requirements and Qualifications** **Requirements:** Experience in the field, preferably within the healthcare sector. **Specific Knowledge – Billing Analyst (Summary):** **Computer Skills:** Microsoft Office suite and hospital management and billing systems (e.g., Tasy). **Awareness:** General Data Protection Law – **LGPD**, as applied to patient information processing. **Knowledge:** Hospital billing processes, medical bill analysis, billing performance indicators, and interaction with health insurance providers. **Proficiency:** Verification and analysis of hospital bills, denial control, document organization, and tracking of billing processes. #### **Joining the Social Institute Mais Saúde is more than building a career—it is embracing the opportunity to positively impact the lives of thousands of Brazilians who rely on the public healthcare system.** #### ***Our mission goes beyond efficiency and quality; we exist to guarantee dignified reception and humanized care at every stage of health rehabilitation. We believe that living in good health is the starting point for dreams, achievements, and happiness.*** #### **If you share this purpose and seek to transform lives, join our team!**
João Silva
Indeed · HR
João Silva
Indeed · HR
