Hospitalcare Products Co.

Junior Claim Appeal Analyst, Hospital Care

Hospitalcare Products Co.

full-time

Posted on:

Location Type: Office

Location: Campinas • Brasil

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Job Level

Junior

About the role

  • Perform analysis of claim denials based on insurers' statements;
  • Evaluate denials in the billing system;
  • Open tickets with HUBs and insurers;
  • Support the department in analyzing, tracking and forwarding cases to health plans;
  • Analyze billing for inpatient services, consultations and procedures;
  • Identify causes of denials, list supporting documentation and propose corrective actions;
  • Reprocess accounts requiring reassessment, forwarding them to the responsible team;
  • Monitor response deadlines and keep occurrence records up to date;
  • Communicate with providers, internal departments (audit, billing, registration, authorization center, commercial) and support areas to align processes;
  • Prepare periodic reports on denial rates, recurring issues and improvement opportunities. Prepare reports based on departmental data for use in meetings;

Requirements

  • Bachelor's degree required in Nursing, Business Administration, Hospital Billing, Accounting or related fields. Proficiency with Microsoft Office;
  • Prior experience in hospital billing, claim denials, auditing or related areas is desirable;
  • Knowledge of hospital billing routines, TISS claim forms, procedure coding, internal auditing and interpretation of technical notes;
  • Proficiency in Microsoft Office, especially Excel (databases, spreadsheets);
  • Availability to work in an initially temporary position (8–10 months), with potential for permanent hire;
  • Must reside in Campinas or the surrounding region.
Benefits
  • Meal and Food Allowance - Pluxee (Sodexo) card
  • Transportation allowance
  • Health plan - 2Care Vera Cruz, extendable to dependents
  • Dental plan - Amil Dental, extendable to dependents
  • Childcare assistance for female HC employees (children up to 6 years old)
  • Life insurance
  • Wellhub (Gympass), extendable to dependents
  • SESC partnership, extendable to dependents
  • Profit sharing
  • Education allowance for courses
  • Training platform
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
hospital billingclaim denialsauditingprocedure codingTISS claim formsdata analysisreport preparationdocumentationcorrective actionsreassessment
Soft Skills
communicationanalytical thinkingorganizational skillsattention to detailproblem-solving
Certifications
Bachelor's degree in NursingBachelor's degree in Business AdministrationBachelor's degree in Hospital BillingBachelor's degree in Accounting