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Open nowPosted yesterday

Analista de Central de Guias

VERSANIA SAUDE BRASIL LTDA

Where
Belo Horizonte, MG, Brasil
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Your applicationOpen nowAnalista de Central de GuiasVERSANIA SAUDE BRASIL LTDA · Belo Horizonte, MG, Brasil

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

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

  4. CV RocketApplied on VERSANIA SAUDE BRASIL LTDA's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

13.4% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.2%1 day
  2. 4.6%3 days
  3. 13.4%7 days
  4. 21.6%14 days
  5. 36.2%30 days
  6. 59.0%60 days
This job: posted yesterday

The posting

A Versania BH atua na área da saúde, com foco em cuidados paliativos, reabilitação e assistência domiciliar. Trabalhamos para oferecer um cuidado humanizado e seguro, promovendo qualidade de vida e colocando o paciente no centro de nossas ações.

Principais atividades

  • Analisar, cadastrar e encaminhar solicitações de autorização de atendimentos hospitalares, internações, consultas, exames e procedimentos cirúrgicos junto às operadoras de planos de saúde, conferindo elegibilidade dos beneficiários, cobertura contratual e documentação exigida.
  • Acompanhar o andamento das solicitações de autorização nos portais e sistemas das operadoras, monitorando protocolos, prazos de resposta, liberações, negativas e pendências, realizando as cobranças necessárias para garantir o retorno dentro dos prazos.
  • Controlar as autorizações de internações hospitalares, acompanhando vencimentos, prorrogações de diárias e solicitações de procedimentos adicionais, providenciando relatórios médicos e justificativas clínicas exigidas pelas operadoras.
  • Analisar e solucionar pendências, divergências cadastrais, inconsistências documentais e negativas de autorização, articulando as correções necessárias com as equipes internas e operadoras de saúde.
  • Manter interface com as equipes de recepção, internação, enfermagem, corpo clínico, auditoria e faturamento, assegurando o alinhamento das informações e a continuidade dos processos de autorização durante a jornada assistencial do paciente.
  • Monitorar indicadores e controles de autorizações, pendências, negativas e prorrogações, elaborando relatórios de acompanhamento e identificando oportunidades de melhoria para reduzir atrasos, glosas e perdas financeiras.

Requisitos

  • Ensino superior completo ou em andamento em Administração, Gestão Hospitalar, Ciências Contábeis ou áreas correlatas.
  • Experiência mínima de 2 anos na área da saúde, preferencialmente com autorização de procedimentos, internações hospitalares e relacionamento com operadoras de planos de saúde.
  • Conhecimento em processos de autorização, elegibilidade, cobertura assistencial, prorrogação de diárias e tabelas TISS/TUSS.
  • Conhecimento obrigatório no sistema MV Soul e domínio do Pacote Office, especialmente Excel.
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    Written against VERSANIA SAUDE BRASIL LTDA's own wording, from every piece of relevant proof in your profile.

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    The review screen in CV Rocket: how each CV was read, round by round.

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