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Medical Fee Assistant
S/111/day
Indeed
Full-time
Onsite
No experience limit
No degree limit
Lambayeque 284, Lima 15093, Peru
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Description

**Company Description:** Auna is a leading organization whose primary commitment is to bring health and well-being to its affiliates and patients. We constantly seek innovation to provide healthcare solutions with high quality standards that are accessible to everyone. We have presence in Peru, Colombia, and Mexico, and more than 14,500 employees. At Auna, we operate with a comprehensive, people-centered healthcare model, which is the most important pillar of our mission. **Job Mission:** Ensure accurate, complete, and timely settlement of medical fees derived from services provided. **Job Responsibilities:** 1\. Validate information from the Spring system using support tools (XHIS and BO) and structure for medical fee settlements according to fee schedules, contracts, and business rules. 2\. Proceed with settlements based on billing criteria for physician services rendered to insurance companies. 3\. Calculate an approximate estimate of medical fee provisions and report it to the supervisor. 4\. Review and validate payment receipts registered by physicians. 5\. Perform quarterly adjustments between provisioned amounts and actual settlements. 6\. Monitor pending physician billing sheets. 7\. Validate and follow up on physician claim cases. 8\. Review Clinical History forms. 9\. Analyze and verify production reports. 10\. Meet objectives related to performance indicators. 11\. Validate manual settlements by verifying authorizations and supporting documentation. 12\. Monitor and report observations identified during validations. 13\. Comply with established deadlines and agreements for delivering information and documents. 14\. Assist in preparing control and monitoring reports. 15\. Support performed validations with documented and traceable evidence. 16\. Train and guide physicians or user departments on processes related to settlement and billing. 17\. Address and follow up on additional physician inquiries or requests, ensuring timely responses. 18\. Participate in internal and external audits, providing information and justification for processes under their responsibility. 19\. Perform other duties assigned by immediate supervisors. **Requirements:** Technical or university degree in Administration, Accounting, Industrial Engineering, or related fields. Knowledge of billing regulations and SEGUS fee schedules. Advanced level of Office. Reporting tools. Basic accounting and tax regulations applicable to medical fees. Billing and settlement processes in clinics/insurance. **Clinic management systems:** Spring, XHIS, SAP, or similar. Minimum of 1 year of relevant experience. **Offer Conditions:** **Monthly net salary:** 111 **Benefits:** * Medical insurance * Training and courses * Wellness activities * Lunch subsidy * Discounts on products

Source:  indeed View original post
María García
Indeed · HR

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