Collections Specialist
Emerson
Manage Emerson customer accounts and receivables, resolving disputes, monitoring credit holds, and supporting payment allocation. Contribute to cash forecasts, reporting, credit reviews, and audits.
Deschide
Grupo Fácil dezvoltă soluții tehnologice și de afaceri pentru organizații din domeniul sănătății și instituții financiare. Cu peste 29 de ani de experiență, grupul reunește mai multe companii axate pe servicii pentru clienți, expertiză tehnică și proiecte conturate în funcție de nevoile în schimbare ale pieței. Activitatea sa acoperă domeniile sănătății, finanțelor și fintech, sprijinind organizații care au nevoie de tehnologie de încredere și soluții practice pentru provocări operaționale complexe.
Medical Auditor — Remote Contract at Grupo Fácil
Medical auditor responsible for reviewing healthcare procedures for Grupo Fácil. Analyzes authorization requests and prepares technical opinions remotely in line with clinical and regulatory standards.
Descriere
- Conduct technical utilization reviews of medical procedures, evaluating requests against current clinical and regulatory criteria through the company’s proprietary system.
- Prepare well-supported technical opinions for authorizations and requests involving elective, urgent, and emergency procedures.
- Maintain review compliance and quality while handling operational requirements efficiently.
- Work remotely with availability during standard business hours.
- Support sustainable healthcare operations and high-quality beneficiary care.
Cerințe
- Bachelor’s degree in Medicine.
- Active, unrestricted registration with the relevant medical board (CRM), including a certificate of good standing from the professional council.
- Completed postgraduate training in Medical Auditing.
- At least two years of demonstrated professional experience in medical auditing.
- Broad clinical experience spanning multiple medical specialties.
- Strong knowledge of medical guidelines, procedures, reimbursement tables such as AMB, and TUSS terminology.
- Basic computer proficiency and familiarity with management systems.
- Strong analytical judgment for reviewing medical information critically, impartially, and decisively.
- High ethical standards and strict confidentiality when handling sensitive information and patient records.
- Excellent deadline and priority management in a fast-paced environment, with discipline and professional commitment in remote work.
- Ability to collaborate effectively with teams and other healthcare professionals.
- Extensive knowledge of ANS regulations and standards in Brazil’s supplementary healthcare sector.
- Solid experience preparing technical opinions and operational policies for health plans.
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