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Open nowPosted 6 hours agoWe saw it 77 min after it went up

Assistente de Auditoria

Gupy (Portal de Vagas)76,365 open roles

Where
Porto Alegre, Rio Grande do Sul, Brazil
Work mode
Hybrid
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Your applicationOpen nowAssistente de AuditoriaGupy (Portal de Vagas) · Porto Alegre, Rio Grande do Sul, Brazil
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The clock on this job

Early applications get read.

8.1% 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. 1.7%1 day
  2. 3.6%3 days
  3. 8.1%7 days
  4. 15.0%14 days
  5. 34.0%30 days
This job: posted 6 hours ago

Gupy (Portal de Vagas) median: 3 days open

The posting

Atuar na Auditoria de Operações em solução de problemas, buscando oportunidade de melhoria contínua, conectando com as demais áreas da empresa. Elaborar e monitorar controles, gerando efetividade e qualidade, buscar sempre o atingimento do indicador, bem como a satisfação do cliente e do médico cooperado.

Responsabilidades e atribuições Analisar e/ou registrar no sistema as solicitações de autorização recebidas dos beneficiários e prestadores;Efetuar as autorizações e auditoria das cobranças de despesas médico hospitalares, enviadas pelos prestadores credenciados e médicos cooperados, com olhar assistencial, avaliando se estão de acordo com as regras e negociações vigentes;Atender e realizar contato com beneficiários, cooperados, prestadores, Unimeds, empresas e áreas da cooperativa;Analisar criticamente as glosas de sistema;Realizar o controle da documentação apresentada pelos prestadores, separando e encaminhando para arquivo os documentos necessários para eventuais consultas das auditorias e demandas administrativas;Realizar o controle dos prazos, e indicadores de processos;Manter-se atualizado sobre os processos da cooperativa, para o desenvolvimento eficaz da rotina de trabalho;Realizar interação com os demais profissionais da auditoria (médicos, enfermeiros, administrativos, farmacêuticos, assistente social);Ser um agente facilitador da comunicação com a rede credenciada, garantindo a agilidade do processo;Identificar oportunidades de otimização no processo;Identificar e sinalizar a necessidade de correção de parâmetros, evitando autorizações e pagamentos indevidos;Buscar alternativas para soluções de dúvidas, visando a satisfação do cliente e da rede credenciada.Requisitos e qualificações Formação mínima para esta posição:Ensino Médio Completo.Qualificações desejáveis:Ensino Superior em andamento ou completo; Pós-graduação em andamento ou concluída.Informações adicionaisSomos um time engajado em fazer a diferença ao cuidar das pessoas! E, além disso, somos HEXA!! Sim, conquistamos o selo GPTW - Great Place To Work pelo 6º ano consecutivo e estamos entre as melhores empresas para trabalhar no Rio Grande do Sul 🏆Faça parte desse clima e conquiste conosco ainda mais!! 🚀

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