Medical Accounts Analyst – Denials and Billing, Junior

Conexa Saúde

Responsible for billing and reducing billing conflicts for healthcare services at Conexa. Collaborate with commercial and tech teams to ensure process improvements and compliance.

Posted 6/22/2026full-timeSão Paulo • 🇧🇷 BrazilJuniorWebsite

About the role

Key responsibilities & impact

Execute billing for Conexa’s group health insurance operators, including generating XML files and storing batches and protocols in reports;
Appeal claim denials, control and reduce denials;
Issue invoices in ERPs, upload them to operator portals, and monitor receipt of payments;
Monitor medical account statements;
Meet tight targets and deadlines;
Implement improvements in the related processes;
Collaborate with the Technology and Product teams to resolve issues and billing impacts;
Work with the Commercial team to resolve delayed billings or to handle necessary formalizations/negotiations with health insurers;
Interpret credentialing contracts (codes, price lists, packages);
Ensure accurate completion of the department’s control spreadsheets.

Requirements

What you’ll need

Bachelor’s degree in Administration, Financial Management, Economics, or related fields;
Previous experience with Accounts Receivable financial routines (billing and collections); knowledge of Medical Accounts and Denial Appeals (glosa) with health insurers is desirable;
Microsoft Office suite;
Excellent communication and organizational skills;
Problem-solving, hands-on profile;
Fluency in AI (use of AI tools);
Knowledge of platforms such as Intuitive Care, Zero Glosa, or similar;
Experience with billing or finance for large health insurers;
Experience with TOTVS.

Benefits

Comp & perks

CAJU card: R$ 1,059.00 monthly credit distributed across categories: Meal, Food, Mobility, Health, Home Office, Culture and Education;
AMIL S450 Health Plan – APTO: 30% co-payment on consultations and exams and 40% on PS; extendable to legal dependents (spouses and/or children up to 24 years). Dependent cost is deducted from payroll. Cost per dependent: R$ 506.86 per life + co-payment.
Omni Saúde: Benefit for purchasing prescription medications. Monthly balance of R$ 100.00 provided to the employee exclusively for medicines prescribed by our Conexa Hospital;
Free access to Conexa and Zenklub platforms with online consultations for mental and physical health;
Childcare allowance according to the regional collective agreement and Extended Maternity/Paternity Leave: option to extend maternity leave to 6 months. Paternity leave is 30 days for fathers;
Life insurance with SULAMERICA to help protect you and your dependents;
Birthday day off: one paid day off during your birthday month;
Totalpass and Wellhub: access to fitness and wellbeing programs;
Course discounts: partnerships with educational institutions for professional and personal development;
SESC benefit: access to sports, culture, leisure activities, courses and more with special conditions for employees and dependents;
Commuter assistance (Vale Transporte): 6% salary deduction if opted in.

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Hard Skills & Tools

billingaccounts receivabledenial appealsfinancial routinesXML filescontrol spreadsheetsinvoice issuancemedical accountsproblem-solvingfluency in AI

Soft Skills

communicationorganizationalcollaborationhands-on profilemeeting targetsnegotiation