Microsoft 365 System Analyst managing M365 services and optimizing tenant technologies at Hilton Grand Vacations. Responsible for administering Exchange Online, SharePoint, Teams, and other cloud technologies.
HC
Onsite Junior Claim Appeal Analyst, Hospital Care
Posted 1 hour ago
About the role
- Analista de Recurso de Glosa Jr at Hospital Care focusing on health service optimization and auditing processes within a robust healthcare system.
Responsibilities
- Perform analysis of claim denials based on insurers' statements;
- Evaluate denials in the billing system;
- Open tickets with HUBs and insurers;
- Support the department in analyzing, tracking and forwarding cases to health plans;
- Analyze billing for inpatient services, consultations and procedures;
- Identify causes of denials, list supporting documentation and propose corrective actions;
- Reprocess accounts requiring reassessment, forwarding them to the responsible team;
- Monitor response deadlines and keep occurrence records up to date;
- Communicate with providers, internal departments (audit, billing, registration, authorization center, commercial) and support areas to align processes;
- Prepare periodic reports on denial rates, recurring issues and improvement opportunities. Prepare reports based on departmental data for use in meetings;
Requirements
- Bachelor's degree required in Nursing, Business Administration, Hospital Billing, Accounting or related fields. Proficiency with Microsoft Office;
- Prior experience in hospital billing, claim denials, auditing or related areas is desirable;
- Knowledge of hospital billing routines, TISS claim forms, procedure coding, internal auditing and interpretation of technical notes;
- Proficiency in Microsoft Office, especially Excel (databases, spreadsheets);
- Availability to work in an initially temporary position (8–10 months), with potential for permanent hire;
- Must reside in Campinas or the surrounding region.
Benefits
- Meal and Food Allowance - Pluxee (Sodexo) card
- Transportation allowance
- Health plan - 2Care Vera Cruz, extendable to dependents
- Dental plan - Amil Dental, extendable to dependents
- Childcare assistance for female HC employees (children up to 6 years old)
- Life insurance
- Wellhub (Gympass), extendable to dependents
- SESC partnership, extendable to dependents
- Profit sharing
- Education allowance for courses
- Training platform
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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