Junior Medical Claims Analyst

Unimed Nacional

. Analyze less complex medical claims, hospital claims, disputes, and appeals of claim denials submitted by healthcare providers and the Unimed System .

Posted 9/23/2026full-timeSão Paulo • BrazilJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing medical claims and ensuring compliance with regulatory requirements while effectively managing billing processes and operational workflows. Proficient in generating analytical reports and providing support to healthcare providers regarding claims and appeals.

Highest-signal resume keywords

Medical Claims AnalysisRegulatory ComplianceExcel ProficiencyOperational Workflow ImprovementBilling Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical ClaimsData AnalysisBilling and RebillingInvoice ManagementAnalytical Reporting

Soft Skills

Organizational SkillsAttention to DetailProblem-Solving

Certifications & Qualifications

Bachelor’s Degree in Business AdministrationBachelor’s Degree in AccountingBachelor’s Degree in Economics

Industry Keywords

ANS Regulatory RequirementsNational Interchange ManualContractual RulesHealthcare ProvidersClaims Disputes

About the role

Key responsibilities & impact

Analyze less complex medical claims, hospital claims, disputes, and appeals of claim denials submitted by healthcare providers and the Unimed System
Analyze and release pre-analysis workflows in the management system
Enter service data and arrange billing and rebilling
Receive, organize in spreadsheets, and archive invoices
Generate analytical reports and release processes to the Finance department
Verify compliance with ANS regulatory requirements, the National Interchange Manual, and contractual rules
Check amounts against reference tables and make the necessary adjustments
Monitor billing deadlines and manage late billings
Record decisions with appropriate justifications and validate signatures from other departments
Provide support to healthcare providers and contracted providers regarding claims and appeals
Request corrections to invoices and CMB and XML Portal files containing inconsistencies
Propose improvements to operational workflows and stay up to date on internal standards and processes

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Accounting, Economics, or a related field
Experience in medical claims
Proficiency in Excel

Benefits

Comp & perks

Medical insurance with outpatient, hospital, and maternity coverage for you and your eligible dependents
Dental insurance with an employer subsidy
Pharmacy benefits with payroll deduction
Wellhub (Gympass) for you and up to three dependents
Meal voucher card
Food allowance card
Private pension plan
Life insurance
PPR (Profit-Sharing Program)
Transportation allowance for on-site or hybrid work arrangements
Partner parking
Day off after your birthday
Childcare or nanny assistance for employees with children up to 16 months old
Benefits Club with partnerships and discounts at educational institutions, language schools, and leisure venues