AUXILIAR DE AUTORIZACOES JR
On-siteNovo Hamburgo, Rio Grande do Sul, Brazil
Job Summary
Analyze and authorize requests for medical procedures, exams, and hospitalizations by validating documentation against internal policies and ANS regulations. Control office materials, negotiate with OPME suppliers, and perform administrative audits on surgical and inpatient requests. Manage beneficiary coverage verification, register authorization requests in the operator's management system, and resolve pending items with providers and internal teams. Support technical and administrative teams, train new attendants, and assist the Enterprise Relations and SAC departments with utilization reports. Address beneficiary inquiries via phone and in-person while maintaining strict adherence to health supplement sector norms.
Required Qualifications
- Boa comunicação verbal e escrita
- Boa dicção
- Ético
- Comprometido
- Domínio pacote Office
- Habilidade para lidar com clientes de forma empática e profissional
- Forte capacidade de organização e atenção aos detalhes
- Experiência em atendimento ao cliente
- Conhecimento em Terapia especial e exames
- Conhecimento das normativas da ANS e das regulamentações aplicáveis ao setor de saúde suplementar
Desired Qualifications
- Diretrizes de utilização da ANS. GIH / SADT
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