Junior Medical Accounts Analyst – Affirmative Action Vacancy (PCD)

Responsibilities

• Analyze hospital medical accounts, disputes, and appeal resources for denials submitted by Providers, reimbursements submitted by beneficiaries and the Unimed System, and arrange the corresponding payments, releasing the payment process to the Finance department, working under guidance;
• Verify that accounts meet regulatory requirements and comply with rules by performing checklists through the system and manual reviews, comparing and verifying amounts against tables/references, and making corrections when necessary;
• Monitor and propose changes, solutions and/or adjustments to workflows, rules in the MIN (Interchange Manual), ANS – National Supplementary Health Agency, and client portfolio invoices, aiming to improve daily processes;
• Maintain records of deliberations/assessments of processes, enter clear justifications for decision-making, check collection deadlines and the presence of signatures on deliberations gener...