Medical Accounts Coordinator

Role Overview

• Lead the medical accounts team, ensuring effective operationalization of institutional strategies.
• Coordinate and guide the team, planning activities and setting targets to meet the organization’s strategy.
• Ensure medical claims are processed in accordance with contractual rules and current legislation.
• Contribute to minimizing claim denials/adjustments and ensure the operator’s financial integrity.
• Interact with the Provider Network and partner entities to resolve outstanding issues and adjust processes.
• Monitor reimbursement analyses, validating documentation to ensure transparency.
• Provide other areas of the organization with information related to the department’s processes.
• Provide and/or deliver periodic training sessions.
• Stay up to date with ANS and Unimed routines and publications.
• Prepare management reports and monitor performance indicators (KPIs).
• Comply with internal regulations and occupational health, hygiene, and safety standards.

Requirements

• Bachelor’s degree in Business Administration, Engineering, or Economics.
• Postgraduate degree in strategic management and leadership preferred.
• Required professional registrations where applicable (e.g., CRM, OAB, CREA).
• Strong knowledge of ANS regulations, TUSS/TISS tables, and Unimed standards.
• Experience in medical claims auditing and reimbursement management.
• Advanced knowledge of hospital/health plan management systems and Excel.

Benefits

• Medical Assistance: Outpatient, inpatient, and obstetric coverage for you and your legal dependents.
• Dental Assistance: Company-subsidized plans covering procedures from basic care to orthodontics and prosthetics.
• Pharmacy Agreement: Access to medication purchases at accredited pharmacies with payroll-deduction discounts and salary-based limits.
• Wellhub (Gympass): Well-being platform offering access to gyms and health apps, extendable to up to 3 dependents.
• Meal Card: Daily credit provided for meals based on each working day.
• Food Card: Monthly credit to assist with grocery purchases.
• Private Pension: Company-sponsored plan to help build financial reserves and future income.
• Life Insurance: Coverage for death and disability, providing financial protection for you and your family.
• PPR (Profit-Sharing Program): Annual reward based on achieving the cooperative’s collective goals.
• Commuter Allowance: Available for travel between home and work in on-site or hybrid arrangements.
• Parking: Agreements with parking facilities near company locations.
• Day Off: One day off granted after your birthday for you to use as you prefer.
• Family Support: Childcare or nanny assistance for employees with children up to 16 months old.
• Benefits Club: Partnerships and discounts with educational institutions, language schools, and leisure providers.