Junior Medical Accounts Analyst

What is the challenge of the position?

Analyze invoices received via web and electronic mail (Outpatient, SADT, and Inpatient);

Review invoice pending items and regularize them;

Enter denials in the system created by the medical and nursing teams;

Monitor invoice status (authorized, pending, and denied);

Monitor email and respond to requests when necessary;

Look up values in the fee schedules (BRASINDICE, SIMPRO, CAGETCS-UNIDS, UNIMED TABLE);

Verify material and medication values on invoices sent by the provider, and check the applied values against the fee schedules;

Process received requests that require health plan authorization;

Maintain control of the Excel spreadsheet;

Knowledge sharing.