Técnico De Contas
Core
Verifying and validating billing for hospital procedures and supplies against health insurance contracts and institutional policies to ensure proper reimbursement.
Role type
Billing verification technician (nursing background)
Builds
Hospital billing accounts and reimbursement claims
Domain
Healthcare administration
Required skills
Medical billing validation, insurance contract analysis, medical record review, high-cost item authorization, administrative claims processing
Preferred skills
Hospital experience
Technologies
Electronic health records systems, billing software
Responsibilities
Analyze procedures and supplies billed against patient medical records to ensure accurate charging; Validate authorization for procedures, exams, and high-cost materials/medications to avoid administrative denials; Search medical records for evidence to justify use of non-standard materials and medications.