Billing Specialist

• Enter codes and procedures in accordance with contracts established with hospitals
• Analyze account and system content
• Review and submit hospital billing claims, ensuring compliance with medical requests
• Validate codes and procedures against medical orders and applicable regulations
• Record services provided on patient accounts
• Monitor outstanding issues
• Enter codes and procedures into hospital accounts
• Remotely access hospital systems to perform activities using platforms such as MV, Tasy, RM, and others
• Handle requests from the accounts receivable and collections department
• Request invoices
• In partnership with the health insurance provider, authorize procedures performed through the provider portals
• Send XML files to health insurance providers

Billing Analyst

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Billing Analyst – Mid-Level

• Perform detailed billing analyses, identifying and correcting discrepancies.
• Carry out complex customized cost allocations and validate calculations.
• Coordinate the submission and review of files with clients and insurance carriers.
• Monitor copay waiver processes, ensuring traceability.
• Process and validate system entries and ensure data integrity across platforms such as Qbem and Quiver Pro.
• Contribute to the monitoring of productivity and quality metrics.
• Prepare customized payroll files according to client requirements.
• Liaise with clients and insurance carriers to resolve issues.
• Support leadership in implementing improvements and automation initiatives.
• Process invoice extensions.
• Negotiate claims and requests with insurance carriers when necessary.
• Train and guide Analysts I and II.
• Ensure compliance with established SLAs and quality standards.

Billing Technician III – Corporate Benefits

• Issue and review invoices for services and/or products
• Prepare and issue invoices, payment slips, and other billing-related documents
• Monitor the billing process, from receiving the necessary information through sending documentation to customers
• Verify registration details, amounts, commercial terms, and other information required to issue documents
• Support the tracking of completed billings, pending items, cancellations, and any necessary corrections
• Respond to customer and internal department requests and clarify billing-related questions
• Keep department records and information up to date in systems and spreadsheets
• Support other administrative and financial routines related to the department

Junior Billing Analyst

• Enter codes and procedures in accordance with contracts established with hospitals
• Analyze account and system content
• Review and submit hospital charges, ensuring compliance with medical requests
• Validate codes and procedures against medical orders and applicable regulations
• Enter rendered services into patient accounts
• Track outstanding issues
• Enter codes and procedures into hospital bills
• Remotely access hospital systems to perform assigned activities, using platforms such as MV, Tasy, RM, and others
• Handle requests from the accounts receivable and collections department
• Request invoices
• Authorize performed procedures in partnership with the health insurance operator through the operator portals
• Submit XML files to the health insurance operator

• Perform detailed billing analyses, identifying and correcting discrepancies.
• Carry out complex customized cost allocations and validate calculations.
• Coordinate the submission and review of files with clients and insurance carriers.
• Monitor copay waiver processes, ensuring traceability.
• Enter and validate system transactions and ensure data integrity across platforms such as Qbem and Quiver Pro.
• Ensure the integrity of clients’ system data.
• Contribute to the monitoring of productivity and quality metrics.
• Prepare customized payroll files according to client requirements.
• Liaise with clients and insurance carriers to resolve issues.
• Support management in implementing improvements and automation.
• Process billing extensions.
• Negotiate claims and requests with insurance carriers when necessary.
• Train and guide Analysts I and II.
• Ensure compliance with established SLAs and quality standards.

• Manage complex billing processes, ensuring data accuracy and compliance with customized allocations.
• Serve as technical support in resolving critical discrepancies and liaising with clients and insurance carriers.
• Perform detailed billing analyses, identifying and correcting discrepancies.
• Prepare complex customized allocations and validate calculations.
• Coordinate the submission and review of files with clients and insurance carriers.
• Monitor copay waiver processes, ensuring traceability.
• Enter and validate system records and ensure data integrity across platforms (Qbem, Quiver Pro, etc.).
• Enter and validate system records and ensure the integrity of the client’s system data.
• Contribute to the monitoring of productivity and quality indicators.
• Prepare customized payroll files according to client requirements.
• Liaise with clients and insurance carriers to resolve issues.
• Support leadership in implementing improvements and automation.
• Process invoice extensions.
• Negotiate claims and requests with insurance carriers when necessary.
• Train and guide Analyst I and Analyst II team members.
• Ensure compliance with established SLAs and quality standards.