Billing Analyst in a hybrid model at BLOOMY LTDA managing the billing process for clinics with health operators. Identifying inconsistencies and proposing process improvements to ensure efficiency.
Responsibilities
Hybrid role, requiring on-site presence two days per week.
Responsible for managing and overseeing the entire billing process for clinics with health insurance providers.
Ensuring that procedures performed are properly recorded, authorized and submitted in accordance with established standards and deadlines.
Works strategically to identify and analyze discrepancies that may lead to claim denials (glosas).
Proposes continuous improvements to processes and contributes to the efficiency, compliance and sustainability of administrative and financial workflows.
Analyze and reconcile clinic billings.
Submit billings to health insurance providers.
Prepare and submit appeals for claim denials to the providers.
Access providers' portals to monitor billing status.
Follow and monitor billing submission schedules and workflows.
Verify the status of claims, authorizations and responses from providers.
Identify and report inconsistencies in service execution processes.
Check for discrepancies between authorizations and procedures performed by clinics.
Report errors or inconsistencies that may impact billing.
Support the organization and improvement of administrative processes related to billing.
Requirements
Bachelor's degree, technologist degree or technical diploma
Good verbal and written communication skills
Attention to detail and strong organizational skills
Ability to manage deadlines and multiple tasks
Monitor team performance indicators
Ability to analyze and interpret management/performance indicators
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