Audit Assistant

Jobtailor; Porto Alegre; Presencial; BRL 45 000 - 95 000; Tempo integral

Resumo da oferta

Jobtailor in Porto Alegre is seeking an auditing professional to support audit operations within a healthcare setting. You will work with Unimed systems to review billing and audit requests, collaborating with a multidisciplinary team to ensure accuracy and compliance.

The role emphasizes attention to deadlines, policy adherence, and process improvement across healthcare providers and Unimed units.

Qualificações

• High school diploma.
• Previous experience in auditing or a similar role.
• Knowledge of ANS regulations.
• Completed or ongoing higher education preferred.

Responsabilidades

• Perform operational activities related to audit processes using Unimed Porto Alegre and Unimed System software and tools.
• Provide service and support to internal and external clients, ensuring information alignment and resolving requests related to audit processes
• Analyze requests, inquiries, and appeals submitted by healthcare providers regarding audit and billing processes
• Collaborate with multidisciplinary teams, including physicians, nurses, pharmacists, social workers, speech-language pathologists, psychologists, and administrative professionals
• Audit accounts and process payments to corporate healthcare providers, ensuring compliance with applicable rules and current contracts
• Analyze and validate system-generated denials, ensuring the correct application of payment and non-payment rules
• Identify opportunities to improve processes involving healthcare providers, cooperative members, suppliers, and Unimed units
• Audit charges for medical and hospital expenses, assessing their compliance with applicable standards, negotiated terms, contracts, and current healthcare practices
• Ensure compliance with deadlines, internal policies, and technical criteria established for audit and payment processes

Conhecimentos

Auditing

Data Analysis

Regulatory Compliance

Healthcare Billing

Client Service

Formação académica

High school diploma

Higher education preferred

Ferramentas

Unimed System Software

Descrição da oferta de emprego

• Perform operational activities related to audit processes using Unimed Porto Alegre and Unimed System software and tools


• Provide service and support to internal and external clients, ensuring information alignment and resolving requests related to audit processes


• Analyze requests, inquiries, and appeals submitted by healthcare providers regarding audit and billing processes


• Collaborate with multidisciplinary teams, including physicians, nurses, pharmacists, social workers, speech-language pathologists, psychologists, and administrative professionals


• Audit accounts and process payments to corporate healthcare providers, ensuring compliance with applicable rules and current contracts


• Analyze and validate system-generated denials, ensuring the correct application of payment and non-payment rules


• Identify opportunities to improve processes involving healthcare providers, cooperative members, suppliers, and Unimed units


• Audit charges for medical and hospital expenses, assessing their compliance with applicable standards, negotiated terms, contracts, and current healthcare practices


• Ensure compliance with deadlines, internal policies, and technical criteria established for audit and payment processes

Requirements

• High school diploma


• Previous experience in auditing or a similar role


• Knowledge of ANS regulations


• Completed or ongoing higher education preferred

Core Competencies

Demonstrates expertise in audit processes and compliance within healthcare, utilizing Unimed software to analyze and resolve billing inquiries while collaborating effectively with multidisciplinary teams.

Highest-signal resume keywords

• Audit Processes


• Unimed Software


• Compliance With ANS Regulations


• Healthcare Billing Analysis


• Client Service Support

Hard Skills

• Auditing


• Payment Processing


• Data Analysis


• Regulatory Compliance


• Healthcare Practices

Soft Skills

• Collaboration


• Problem-Solving


• Communication

Industry Keywords

• Healthcare Providers


• Audit Standards


• Billing Processes


• Internal Policies


• Technical Criteria

Tools & Technologies

• Unimed System Software