Perform operational tasks using Unimed Porto Alegre's information tools and systems, the Sistema Unimed, and other required systems;
Make and receive contacts with internal and external clients related to the process, aiming to enable alignment and problem resolution within the cooperative and the Unimed system;
Analyze incoming customer complaints related to auditing processes;
Interact with other audit professionals (physicians, nurses, administrative staff, pharmacists, social workers, speech therapists, and psychologists);
Receive, control, and digitize documents submitted by providers, organizing and filing them afterwards;
Analyze and validate system denials (glosas) according to payment/non-payment rules;
Perform audits to identify opportunities for alignment in hospital and Unimed processes, aiming to provide training and capacity building;
Audit medical and hospital expense charges submitted by the Sistema Unimed and hospitals, with a care-focused perspective, evaluating whether they comply with current rules and agreements;
Perform data entry, account deductions, or credits for healthcare accounts;
Fill out, generate, review, and print control spreadsheets and reports, correcting any errors;
Monitor and meet deadlines and process KPIs, and act proactively to resolve issues;
Act as a facilitator of communication with the Sistema Unimed, ensuring process agility.

High school diploma (complete).
Proficiency in Excel.
Previous experience in auditing or hospital billing.
Familiarity with the TOTVS system.
Higher education in progress or completed (Business Administration, Management, Hospital Management, or related fields) is a plus.

Audit Assistant – Interchange

Key skills