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.

Mid-level Billing Analyst

Key skills