Auxiliar Administrativo de Atendimento Jobs at Unimed Litoral in Itajaí, Santa Catarina

Unimed Litoral company opens jobs for Auxiliar Administrativo de Atendimento positions in the Santa Catarina region. The type of work we provide is Full-time.

The criteria for the employees we need are having Administrative skills with Not Applicable experience, as well as employees who are honest, disciplined and responsible.

The Headhunters company itself is engaged in Hospitals and Health Care, of course if you are interested in applying for this company, you can register immediately.

Job Information

Job Description

Job Vacancy: Customer Service Representative

Schedule: 10:00 AM to 10:00 PM (12×36)
Location: Espaço Viver Bem – Praia Brava/Itajaí-SC

Requirements:
– High school diploma
– Basic computer skills
– Proficiency in Microsoft Office

Job Description:
The Customer Service Representative will provide excellent customer service to clients and healthcare providers for scheduling and authorization of consultations and exams.

Main Responsibilities:
– Process authorization requests for exams and procedures in the network, based on medical orders and contractual coverage.
– Issue in-person service protocol.
– Schedule exams in our own facilities.
– Evaluate the need for reports for requested procedures and analyze audits.
– Check if the medical procedure is listed in the ANS (National Health Agency) roll, and proceed with authorization.
– Check customer’s financial position and print invoices from the internal system.
– Provide information about affiliated clinics and healthcare facilities to clients.
– Scan documents to attach to pending requests for exams and surgeries.
– Forward authorization requests to the department responsible for cost analysis.
– Approve admission and periodic exams (PCMSO).
– Approve exam and surgery forms after medical audit analysis.
– Conduct client triage for in-person service.
– Provide in-person customer service, register complaints, and forward them to the customer service department.
– Contact customers to inform them if the procedure has been denied.
– Use the Unimed Brazil Exchange Manual to request authorizations for beneficiaries.
– Contact Unimed and healthcare providers via chat or phone to apply exchange manual rules and comply with deadlines set by Unimed Brazil.
– Request password anticipation for clients undergoing procedures outside their contract area.
– Request authorization for exchange clients through the integrated Unimed Brazil system for the Origin Unimed.
– Register client and exam information in the TASY system.
– Provide instructions to clients regarding exam preparation.
– Collect relevant information from clients regarding medication use, habits, etc., to assist clinical analysts during analysis.
– Conduct satisfaction surveys with all clients.
– Follow laboratory manuals and protocols.
– Perform routine tasks related to cash handling and forward it to the treasury department.
– Verify pre-scheduled appointments.
– Check eligibility for beneficiary treatment.
– Open customer service with document verification and beneficiary’s updated information.
– Schedule consultations, exams, and procedures according to patient’s needs or doctor’s instructions.
– Deliver preventive exam reports and in-house lab test results, as well as ECG images taken at the clinic.
– Deliver exams from other departments to the respective department.
– Print medical production for beneficiary’s subsequent signature and any relevant material.
– Provide attendance certificates as requested.
– Keep the workspace organized.
– Contact doctors or professionals if necessary for complementary situations related to beneficiary treatment.
– Send daily production to billing.
– Follow up on pending accounts received from billing.
– Provide appropriate containers for requested lab specimen collection.
– Schedule regular appointments for therapy patients or schedule return visits as per professional’s instructions.
– Schedule consultations requested by other departments (with a multidisciplinary team).
– Respond to customer complaints within the specified timeframe.
– Schedule appointments as per patient’s needs or doctor’s instructions.
– Schedule consultations requested by other departments (with a multidisciplinary team).
– Authorize procedures scheduled by other departments.
– Authorize requests for exams and procedures requested by beneficiaries in our own or affiliated facilities.
– Provide medical guide for beneficiary information.
– Verify if the procedure code provided by the doctor is covered by ANS procedures to proceed with authorization.
– Scan documents to attach to pending requests for exams and surgeries.
– Forward authorization requests to the Cost Analysis department.
– Forward requests for medical and specialized audits.
– Contact other Unimed branches via chat or phone to verify beneficiary eligibility.
– Provide in-person customer service, register complaints, and forward them to the relevant department.

Other Related Tasks:
Perform any other activities related to their operational unit and the nature of their work, as directed by a superior authority.

Benefit

• Comfortable environment
• Taught when starting work
• Salary bonus if there is overtime