Analista de atendimento - Evangélico Hospital
Core
Authorizes elective surgical procedures with health insurance carriers and manages related documentation for a hospital network.
Role type
Surgical authorization analyst
Builds
Surgical procedure authorizations and documentation workflows
Domain
Healthcare administration / Insurance claims
Deliverable
client delivery
Required skills
TUSs table knowledge, Microsoft Office, document verification, insurance carrier communication
Responsibilities
Submit surgical procedure authorization requests to health insurance carriers; Verify medical documents and requests; Handle claim denials, document supplements, and OPME requests; Reconcile authorized vs. requested procedures; Maintain system updates for surgical flow