Job Summary: The professional will be responsible for receiving and analyzing requests for surgical procedure authorization, ensuring compliance and efficiency in the processes. Key Highlights: 1. Surgical procedure analysis and authorization 2. Communication with health insurance providers, physicians, and patients 3. Negotiation and resolution of disputes with health insurance providers Hospital São Lucas da PUCRS is part of a global institution: Rede Marista! We are present in over 80 countries worldwide and have more than 10,000 employees. In Rio Grande do Sul, Rede Marista comprises the Pontifical Catholic University of Rio Grande do Sul \- PUCRS, InsCer \- Brain Institute, Parque Esportivo, private schools, and social units. Interested? If you identify with our purpose and seek professional growth and development, let’s work together! **Responsibilities and Duties** **Main Responsibilities:** * Receive and analyze requests for surgical procedure authorization, verifying compliance with requirements established by health insurance providers. * Ensure all surgical procedures are duly authorized within deadlines stipulated by health insurance providers. * Prepare and submit required documentation to obtain authorizations from health insurance providers. * Collaborate with the surgical scheduling department to ensure authorizations are obtained within the necessary timeframe for procedure execution. * Identify and correct potential errors in requests or submitted documentation to minimize authorization rejections or delays. * Negotiate with health insurance providers to resolve procedure rejections, coverage adjustments, and other authorization-related disputes. * Monitor the status of authorization requests and conduct follow\-ups with health insurance providers, ensuring adherence to established deadlines. * Establish direct communication with health insurance providers, physicians, patients, and departments involved in the surgical process to clarify doubts and update authorization status. * Notify surgeons and medical secretariats regarding authorization status, including approvals, pending items, or denials. * Establish direct communication with health insurance providers, physicians, patients, and departments involved in the surgical process to clarify doubts and update authorization status. * Notify surgeons and medical secretariats regarding authorization status, including approvals, pending items, or denials. **Requirements and Qualifications** **Requirements and Qualifications:** **What We Are Seeking:** * A professional aligned with our purpose of excellence in patient care. **What You Need to Have:** * Completed High School Education **Additional Information:** * Experience in authorization, preferably for surgical procedures. * Knowledge of health insurance providers’ authorization processes and regulations, and basic knowledge of medical terminology and procedures. **Additional Information** **Join Our Team!** We are a Marist institution and believe in the potential of our employees. We encourage professional training and development through scholarship grants: * 40% discount on undergraduate programs at PUCRS; * 50% discount on PUCRS Lato Sensu postgraduate programs. **Some Benefits:** * Free parking; * Subsidized cafeteria; * Access to medical and dental health plans; * Childcare allowance; * Discount on short-term courses at PUCRS; * Access to Ir. José Otão Library at PUCRS; * Discount on activities at PUCRS Parque Esportivo; * Discount at Colégio Marista Champagnat; * Discount on Nursing Technician and Surgical Instrumentation Technician courses at Escola Valentia. With a mission to promote life through healthcare, education, and research, Hospital São Lucas da PUCRS is the world’s first Marist hospital and has provided comprehensive, humanized care for nearly 50 years. Together with our people, we aim to be recognized as an institution of exceptional, compassionate care that always seeks the best for everyone who finds their well\-being here. HSL is a philanthropic hospital employing over five thousand staff across clinical, administrative, and support areas. Operating in more than 40 specialties, Hospital São Lucas holds Qmentum Diamond accreditation and is ranked among the 100 Best Hospitals in Brazil according to the World’s Best Hospitals ranking by Newsweek/Statista in 2021, 2022, 2023, and 2024; it has also been awarded Top Ser Humano twice by ABRH\-RS and was the first hospital in Latin America to receive Qmentum Diamond accreditation for its cardiology service. Do you identify with our purpose and wish for professional development? Let’s work together!