Audit Assistant

Unimed

. Support and resolve operational requests that affect the smooth execution of audit processes .

Posted 10/7/2026full-timePorto Alegre • BrazilMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in managing authorization requests and ensuring compliance with health plan regulations, while maintaining a strong focus on customer satisfaction and continuous improvement. Capable of analyzing claims and collaborating effectively with healthcare providers and internal departments.

Highest-signal resume keywords

Authorization ManagementExcel ProficiencyKnowledge of ANS RegulationsCustomer Service SkillsAnalytical Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ReviewClaim AnalysisHealth Plan Coverage VerificationTOTVS System UsagePlan Management System Entry

Soft Skills

Proactive MindsetResults-Oriented ApproachRelationship BuildingDecision-Making AbilityAdaptability

Industry Keywords

UnimedHealthcare AuthorizationCustomer ExperiencePerformance MetricsContinuous Improvement

About the role

Key responsibilities & impact

Support and resolve operational requests that affect the smooth execution of audit processes
Handle priority requests and inquiries from Unimed departments, particularly those involving procedure and test authorizations and denials
Review authorization requests received through the Unimed Portal, website, in-person service, call center, and other channels
Monitor deadlines and targets related to authorization requests
Stay up to date on the cooperative’s internal processes
Conduct preliminary assessments and validate requests by analyzing claim denials, waiting periods, medical reports, and documents attached in the TOTVS system
Verify health plan coverage and approve or deny authorizations within the required timeframe
Enter authorizations into the Plan Management system
Contact beneficiaries, cooperative physicians, and healthcare providers by phone regarding authorizations, denials, medical review boards, and documentation
Identify and report system configuration requirements and correction needs
Handle authorization requests from customers, healthcare providers, and other Unimed units
Seek alternatives to resolve questions and ensure the satisfaction of customers, healthcare providers, and the cooperative
Clarify questions from the provider network and contracting companies, and support other departments with authorization-related matters

Requirements

What you’ll need

High school diploma
Intermediate proficiency in Excel
Knowledge of current regulations issued by ANS (Brazil’s National Supplementary Health Agency)
Undergraduate degree in progress or completed (preferred)
Postgraduate degree in progress or completed (preferred)
Proactive, analytical, and problem-solving mindset
Ability to identify continuous improvement opportunities
Strong results-oriented approach
Commitment to performance metrics
Focus on customer experience and satisfaction
Excellent relationship-building and customer service skills with cooperative physicians and other stakeholders
Decision-making ability
Ability to work in dynamic and constantly changing environments

Benefits

Comp & perks

Dynamic and collaborative work environment
Ongoing professional development opportunities
Company recognized as the second-best healthcare company in the GPTW ranking and the fifth-best company to work for in Rio Grande do Sul
Ranked 45th in the GPTW Brazil ranking
Support for professional development
Opportunities to contribute to a variety of projects