Position Summary: We are seeking an EPS Agreement Billing Specialist to register, validate, and submit medical billing, manage claim denials, and coordinate with internal departments. Key Highlights: 1. Experience in EPS insurance billing and management of claim denials. 2. Knowledge of EPS agreements such as Pacífico, Rímac, MAPFRE, and La Positiva. 3. Collaboration with admission, medical, and pharmacy teams. The clinic requires an EPS Agreement Billing Specialist. **Main Responsibilities** * Register and validate medical services provided to EPS patients. * Prepare and submit **monthly billing** to EPS entities according to current agreements. * Verify coverage, deductibles, co-payments, and exclusions. SITEDS * Review clinical records, medical orders, and supporting documentation for billing purposes. * Manage **claim denials, observations, and re-billing**. * Coordinate with admission, physicians, nursing, and pharmacy to resolve observations. * Monitor account statements, payments, and reconciliations. * Maintain updated physical and digital EPS patient files. * Comply with deadlines and formatting requirements stipulated by each EPS entity. * Support internal and external audits. * Prepare reports on EPS production, billing, and collections. **4. Job Requirements** **Academic Qualifications** Technical or university degree in: Administration, Accounting, Health Services Management, or related fields. **Experience** * Minimum **1–2 years** of experience in **EPS insurance billing** within clinics or hospitals. * Experience handling claim denials and billing recovery. **Technical Knowledge** * Knowledge of **EPS agreements** (e.g., Pacífico, Rímac, MAPFRE, La Positiva, among others). * Proficiency in hospital and EPS billing systems. * Familiarity with tariffs, packages, medical codes, and nomenclatures. * Intermediate-level Excel proficiency. * Basic knowledge of healthcare regulations and medical auditing. **Working Hours:** **Monday to Friday: 8:30 a.m. to 7:00 p.m.; Saturdays: 8:30 a.m. to 7:00 p.m.** **Location: Lince** Employment Type: Full-time Salary: S/.1,400.00 – S/.1,600.00 per month Workplace: On-site employment