Authorization Audit Assistant - Authorization Auditing

Description

Job Summary: Monitor, track, and triage authorization forms, verifying deadlines and preparing required documentation for auditing; contacting involved parties and expediting processes. Key Highlights: 1. Opportunity to work in authorization auditing within a dynamic environment. 2. Teamwork and interaction with various healthcare professionals. 3. Development of skills in healthcare legislation and process analysis. **Description:** **Job ID:** 10224714 \- Authorization Audit Assistant \- Authorization Auditing **Required Knowledge:** Writing and text composition; Basic Microsoft Office Suite **Desired Knowledge:** Familiarity with laws: Law No. 9656 / RN 566\-2022 (Healthcare Service Response Timelines) / RN 395 \- Request and Authorization of Procedures / RN 465 \- Utilization Guidelines (and all subsequent updates and replacements); **Required Education:** Completed High School **Required Behaviors and Skills:** Focused attention; Critical thinking; Agility; Proficient typing; Confidentiality; Interpersonal communication **Required Experience Area:** Administrative experience in healthcare institutions is preferred: Reception \- Clinics / Hospitals **Working Hours:** Monday to Friday, 7:00 AM to 7:00 PM **Work Location:** Setor Bueno **Brief Description:** Monitor, track, and triage local and inter-institutional authorization forms, verifying regulatory deadlines and preparing necessary documentation and information for completing the authorization form auditing process; contact requesting physicians, providers, and/or beneficiaries as needed; contact auditors and other personnel responsible for the authorization process as needed to expedite form completion; schedule medical evaluations for local and inter-institutional beneficiaries; monitor deadlines for completing requested forms; perform pre-audits of inter-institutional forms; register and/or transcribe forms when necessary; track requests originating from various communication channels, both locally and via inter-institutional systems; assist in monitoring and tracking audit results generated by artificial intelligence; assist in monitoring, tracking, and generating various performance indicators when required; assist in monitoring and tracking NIPs and/or judicial proceedings. 2511140202461868651