Auditor de Saúde II (Vaga Médica)
HybridSão Paulo, São Paulo, Brazil
São Paulo, São Paulo, BrazilHybridFull TimeLarge
Full TimeLarge
Job Summary
Conduct medical account audits, analyze medical guides for eligibility and ANS compliance, and manage claims denials through formal glosas in ambulatory and hospital services. Execute billing audits based on contracts, agreed tables, and current legislation while addressing manifestações, ouvidoria, and liminares. Requires Superior in Medicine degree, CRM registration, and experience with NIPS and regulatory norms. Full-time role with hybrid schedule, offering comprehensive medical and dental benefits, gym access, and annual result participation program.
Required Qualifications
- Superior em Medicina
- Registro no CRM
- Experiência com normas regulatórias, NIPS, Ouvidoria e Liminares
Desired Qualifications
- Desejável Pós graduação em gestão de serviços de saúde
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