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Glosa Appeals Analyst I
Hospital Infantil Sabara. Analyze administrative, technical, and contractual denials applied to hospital bills .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing administrative and technical denials related to hospital billing, with a strong focus on interpreting contracts and reimbursement models. Proficient in collaborating across departments to enhance processes and support complex analyses.
Highest-signal resume keywords
Denial AnalysisContract InterpretationReimbursement ModelsMicrosoft Office ProficiencyProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Denial Appeals PreparationAudit Inconsistencies AssessmentTechnical Rationale DevelopmentDocumentary Evidence ReviewRegulatory Standards Knowledge
Soft Skills
CollaborationAttention to DetailAnalytical Thinking
Tools & Technologies
MV SystemsZero Glosas Systems
Industry Keywords
Hospital BillingMedical Records ReviewBilling DocumentationContractual DiscrepanciesContinuous Improvement
About the role
Key responsibilities & impact- Analyze administrative, technical, and contractual denials applied to hospital bills
- Review medical records, care documentation, billing documents, contracts, and reimbursement rules
- Prepare denial appeals supported by technical rationale and documentary evidence
- Assess the reasons for denials, audit inconsistencies, and contractual discrepancies
- Track deadlines, outstanding items, results, and recovered amounts from submitted appeals
- Interpret contracts, regulatory standards, and reimbursement models
- Identify recurring causes of denials and propose corrective and preventive actions
- Collaborate with billing, account auditing, clinical care, nursing, medical staff, and other departments
- Contribute to process standardization and continuous improvement
- Provide technical support to the team in more complex analyses
Requirements
What you’ll need- Bachelor’s degree in Finance, Engineering, Accounting, or Hospital Management
- Previous experience in a similar role
- Intermediate proficiency in Microsoft Office, including Excel, PowerPoint, and Word
- Knowledge of MV and Zero Glosas systems
Benefits
Comp & perks- Meal and food allowances provided through a flexible benefits card, including during the vacation month, with no payroll deduction
- On-site cafeteria
- Breakfast and/or evening snack according to the work schedule
- Care + Emergency Room program for children aged 0 to 17
- Bradesco Seguros health insurance with copayment
- Bradesco Seguros dental insurance
- Access to psychological services through a partner provider
- TotalPass
- Pharmacy partnership with discounts
- Life insurance, with 50% of the cost covered by the company
- Transportation allowance
- Variable compensation
- IFEPAF Discount Club and partnerships with educational institutions
- Benefits through SESC
- Birthday gift voucher
- Childcare assistance for children up to 6 years old
- Maternity kit
- Special gifts on Children’s Day and Easter