Billing Analyst

Jobtailor; Rio de Janeiro; Presencial; BRL 40 000 - 72 000; Tempo integral

Resumo da oferta

Jobtailor is seeking a billing specialist to map daily clinical activity to billable revenue, issue invoices on time, and reconcile accounts. You will monitor claim denials, manage deadlines, and perform collections with health plan operators while creating TISS batches per insurer rules.

Required are a completed or in-progress degree in administration, accounting, or healthcare, plus experience in clinic/hospital billing and familiarity with major health plans.

Qualificações

• Bachelor's degree completed or in progress in Administration, Accounting, Financial Management, Healthcare, or related fields.
• Previous experience in billing for clinics, hospitals, or health plan operators.
• Knowledge of the TISS standard and procedure authorization rules.
• Familiarity with billing rules and fee schedules of major health plans.

Responsabilidades

• Map daily clinical activity and ensure full conversion into billable revenue, with no losses or omissions.
• Issue service invoices within deadlines and in compliance with current legislation.
• Reconcile billed amounts, receipts, and bank statements.
• Monitor, classify, and appeal claim denials from health insurers, tracking outcomes.
• Manage payment deadlines and perform formal collections with health plan operators.
• Create and submit billing batches (TISS) according to each insurer's requirements.
• Provide accounting with the necessary data for accurate revenue posting.

Conhecimentos

Billing

Healthcare billing

Advanced Excel

Formação académica

Bachelor's degree in related fields

Ferramentas

ERP systems

Billing software

Descrição da oferta de emprego

Responsibilities

• Map daily clinical activity and ensure full conversion into billable revenue, with no losses or omissions.
• Issue service invoices within deadlines and in compliance with current legislation.
• Reconcile billed amounts, receipts, and bank statements.
• Monitor, classify, and appeal claim denials from health insurers, tracking outcomes.
• Manage payment deadlines and perform formal collections with health plan operators.
• Create and submit billing batches (TISS) according to each insurer's requirements.
• Provide accounting with the necessary data for accurate revenue posting.

Requirements

• Bachelor's degree completed or in progress in Administration, Accounting, Financial Management, Healthcare, or related fields.
• Previous experience in billing for clinics, hospitals, or health plan operators.
• Knowledge of the TISS standard and procedure authorization rules.
• Familiarity with billing rules and fee schedules of major health plans (Unimed, Bradesco Saúde, SulAmérica, Amil, among others).
• Advanced Excel skills and proficiency with healthcare billing/ERP systems.