Sami

Auditor

• Analyze medical, hospital and outpatient accounts in accordance with the health plan's policies and guidelines.
• Evaluate clinical records, medical charts and procedures performed.
• Verify coding according to billing tables (TUSS, AMB, CBHPM, among others).
• Identify inconsistencies, billing errors and opportunities for improvement.
• Prepare technical assessments and audit reports.
• Interact with internal teams, providers and hospitals to obtain clarifications.

Junior Nurse — Medical Claims Auditor

Analyst

• Verification, follow-up, and analysis of documentation
• Issuing, reviewing, and analyzing proposals
• Tracking and requesting documentation from the sales team and managers
• Occasional beneficiary support via WhatsApp
• Preparation of quotes and presentations

Junior Nurse — Medical Claims Auditor

Junior Back Office Analyst