Billing and Audit Assistant

Description

Job Summary: We are seeking an organized and analytical professional to support billing audit and billing processes, ensuring compliance and efficiency. Key Highlights: 1. Support billing audit processes and denial analysis 2. Prepare appeals and monitor payments with health insurance operators 3. Ensure compliance, quality, and efficiency in departmental processes We are looking for an organized, analytical, and committed professional to work as a **Billing and Audit Assistant**. This position is responsible for supporting billing audit processes, performing denial analysis, preparing appeals to health insurance operators, and monitoring payments, ensuring compliance, quality, and efficiency in departmental processes. **Main Responsibilities:** * Analyze denial reports received from health insurance operators; * Prepare and monitor denial appeals within established deadlines; * Record denials, appeals, and payments in the system; * Compile data and generate management reports; * Support the audit and accounts receivable departments in tracking pending items; * Verify medical records, billing forms, medical prescriptions, and other documents related to audits; * Organize medical records and assist in preparing bills for audit; * Support activities related to the Quality Management System; * Assist in developing and updating internal workflows, procedures, and records; * Handle notifications and non-conformities from the department. **Requirements:** * Completed high school education; * Technical or undergraduate degree in Administration, Accounting, or related fields is desirable; * Experience in the healthcare sector is desirable; * Proficiency in Microsoft Office Suite, especially Excel; * Knowledge of hospital/healthcare billing is desirable; * Familiarity with the IW (Incoway) system is desirable. **Behavioral Competencies:** * Organization and planning; * Strong communication and interpersonal skills; * Numerical data analysis; * Results orientation; * Commitment and accountability; * Attention to detail; * Continuous improvement. Compensation: R$1\.733,30 \- R$2\.811,00 per month Benefits: * Medical assistance * Dental assistance * Commercial agreements and discounts * Food allowance * Meal voucher * Transportation voucher Work Location: On-site