Junior Medical Payment Analyst

Role Overview

• Calculate individual physician and multidisciplinary team fees based on procedures performed, service contracts and the commercial terms agreed with each professional or medical group.
• Process payouts in a timely manner, ensuring the necessary organization and documentation for payments.
• Audit amounts to be paid by reconciling information on services provided (from medical records, the billing system and health insurers) with contractual remuneration rules.
• Analyze and verify medical account statements to ensure that all billed and received items correspond to services that generate entitlement to fees.
• Maintain a detailed, up-to-date record of remuneration contracts with each physician and team, including percentages, fixed amounts, deduction rules and any other relevant clauses.
• Communicate with physicians and their administrative staff to clarify questions about payout calculations, adjustments and contractual rules.
• Collaborate in reviewing and updating physician compensation contracts and agreements, ensuring compliance with market practices and applicable legislation.
• Investigate and resolve discrepancies in fee payments by analyzing physicians' complaints and presenting explanations or making the necessary adjustments.
• Work proactively to identify common causes of discrepancies and propose process improvements to minimize them.
• Generate periodic reports on payout volumes and distribution by specialty and physician.
• Provide strategic information to management on the performance of remuneration agreements and trends in physician fee costs.
• Use hospital management systems (ERP), medical accounts and payout modules, spreadsheets and other tools to record, control and efficiently process information.
• Stay up to date on ANS regulations, Federal Revenue Service rules and any other legislation that affects the remuneration of healthcare professionals.
• Collaborate with billing, contracts and cost teams to optimize data-entry processes that directly impact payout calculations.
• Comply with internal regulations, quality management system requirements, ANS regulations, as well as health, hygiene and occupational safety norms and procedures inherent to the sector, including the use of PPE/CPE (personal protective equipment/collective protective equipment) when activities require it.
• Perform other duties inherent to the role or as directed by your immediate supervisor, provided they are within your qualifications and experience.

Requirements

• Bachelor’s degree in Business Administration, Accounting, Economics or related fields.
• Proficient in Excel and hospital ERP systems (TASY, MV or similar).
• Knowledge of procedure code tables (TUSS, CBHPM) and physician payout rules.
• Familiarity with healthcare legislation (ANS) and contract management.

Tech Stack

• ERP

Benefits

• Health Insurance: outpatient, hospital and obstetric coverage for you and your legal dependents.
• Dental Insurance: company-subsidized plans covering basic procedures through orthodontics and prosthetics.
• Pharmacy Program: access to medications at partner pharmacies with payroll discount and a limit based on salary.
• Wellhub (Gympass): a wellness platform providing access to gyms and health apps, extendable to up to 3 dependents.
• Meal Card: amount credited for each working day to cover daily meals.
• Food Allowance Card: monthly credit to help with grocery purchases.
• Private Pension: company-sponsored plan to support building financial reserves and future income.
• Life Insurance: coverage for death and disability, providing financial protection for you and your family.
• PPR (Profit Sharing Program): an annual reward based on achieving the cooperative’s collective goals.
• Transportation Voucher: available for commuting between home and work for on-site or hybrid schedules.
• Parking: agreements with parking networks near the company’s facilities.
• Day Off: one day off granted after your birthday for you to use as you wish.
• Family Support: daycare or babysitter assistance for employees with children up to 16 months.
• Benefits Club: partnerships and discounts with educational institutions, language schools and leisure options.