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Open nowPosted 14 hours ago

Analista de Recursos de Glosa Jr | Flamengo - RJ

Gupy (Portal de Vagas)78,145 open roles

Where
Rio de Janeiro, Brazil
Work mode
Hybrid
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Your applicationOpen nowAnalista de Recursos de Glosa Jr | Flamengo - RJGupy (Portal de Vagas) · Rio de Janeiro, Brazil

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  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

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The clock on this job

Early applications get read.

8.2% of postings close within 7 days. Measured by our own scanner across the market. Gupy (Portal de Vagas) postings stay open a median of 3 days.

Share of postings closed within
  1. 1.8%1 day
  2. 3.6%3 days
  3. 8.2%7 days
  4. 15.2%14 days
  5. 34.0%30 days
This job: posted 14 hours ago

Gupy (Portal de Vagas) median: 3 days open

The posting

Responsável pelos processos de análise e recurso de glosas médicas e administrativas, garantindo a recuperação de receitas e a redução de perdas financeiras. Atua na identificação de causas de glosas, elaboração de estratégias corretivas e integração entre setores administrativos e assistenciais.

Responsabilidades e atribuições Analisar e acompanhar glosas financeiras e administrativas apresentadas pelas operadoras.Receber, organizar e conferir os demonstrativos de glosa, identificando valores, motivos e competências.Realizar a análise crítica das glosas, confrontando informações entre sistema, faturamento, prontuário/documentação e regras contratuais.Identificar a causa raiz das glosas, classificando-as por motivo, operadora, unidade, competência e tipo.Elaborar e protocolar recursos de glosa dentro dos prazos estabelecidos pelas operadoras.Reunir e validar documentos comprobatórios necessários para sustentação dos recursos.Acompanhar protocolos de transmissão e recebimento dos recursos, garantindo rastreabilidade do processo.Controlar os prazos de recurso, análise e pagamento das glosas recuperadas.

Requisitos e qualificaçõesRequisitos Obrigatórios:Ensino Superior completo;Pacote office intermediário para avançado;Experiência em faturamento/atendimento hospitalar/clínica.Requisitos desejáveis:Experiência com o sistema Tasy;Experiência com o Zero Glosa;Informações adicionaisVale refeição ou alimentação;Vale Transporte;Plano de Saúde Sulamérica;Plano Odontológico;Gympass;

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