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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in leading patient service, scheduling, and billing process implementations, with a strong focus on analyzing KPIs and proposing system improvements. Proficient in executive-level communication and stakeholder engagement.
Highest-signal resume keywords
Patient Service Process ImplementationHealth Plan Billing DocumentationSystem Implementation ExperienceKPI Analysis and ReportingTasy System Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Service ProcessesScheduling ProcessesBilling ProcessesWorkflow Definition and ValidationFunctional TestingProcess ImprovementKPI MonitoringData Analysis
Soft Skills
Executive-Level CommunicationStakeholder Engagement
Tools & Technologies
Tasy System
Certifications & Qualifications
Bachelor's Degree in Administration or Health-Related Field
Industry Keywords
Private Patient BillingHealth Plan BillingClaim DenialsComplianceAuthorization Time
About the role
Key responsibilities & impact- Lead the implementation of patient service, scheduling and treasury processes
- Map current patient service, scheduling and billing processes
- Define and validate service workflows and documentation
- Validate service rules and workflows in the system (health plan/insured and private/self-pay)
- Conduct functional tests related to service, scheduling and billing
- Ensure alignment between defined processes and system behavior
- Serve as the technical point of reference during go-live and stabilization
- Monitor area KPIs such as claim denials/adjustments (glosas), turnaround times, productivity, compliance and authorization time
- Analyze post-implementation results
- Propose process and/or system improvements based on KPIs
- Prepare and present results, KPIs and status reports to management and stakeholders with executive-level communication
Requirements
What you’ll need- Bachelor's degree (Administration or Health-related field)
- Solid experience with hospital patient service processes
- Knowledge of private patient billing
- Knowledge of health plan (insurance) billing documentation
- Experience in system implementations preferred
- Knowledge of the Tasy system preferred
Benefits
Comp & perks- Health insurance (including dependents)
- Dental insurance (including dependents)
- Meal allowance
- Rede D'Or Partner Club (exclusive discounts and benefits)
- Life insurance
- Corporate agreements with partner companies
- Access to Rede D'Or Academy trainings (continuous development)
- Performance bonus (based on achievement and eligibility)
