




Position Summary: A clinic is seeking an EPS Agreement Billing Specialist to register, validate, and submit billing; manage claim adjustments; and coordinate with medical departments. Key Highlights: 1. Comprehensive management of EPS agreement billing and claim adjustments 2. Interdepartmental coordination to resolve observations 3. Monitoring and reconciliation of account statements and payments 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 adjustments, observations, and re-billing**. * Coordinate with admissions, physicians, nursing, and pharmacy to resolve observations. * Monitor account statements, payments, and reconciliations. * Maintain up-to-date physical and digital EPS patient files. * Comply with deadlines and formatting requirements set by each EPS entity. * Support internal and external audits. * Prepare EPS production, billing, and collections reports. **4. Position 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 adjustments and billing recovery. **Technical Knowledge** * Familiarity with **EPS agreements** (e.g., Pacífico, Rímac, MAPFRE, La Positiva, among others). * Proficiency in hospital and EPS billing systems. * Knowledge of tariffs, packages, medical codes, and nomenclatures. * Intermediate-level Excel proficiency. * Basic knowledge of health 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


