Job Summary: Execute billing and submission processes ensuring quality and compliance, reviewing assigned cases and validating documentation. Key Responsibilities: 1. Ensure billing process quality and compliance. 2. Manage the resolution of documentation inconsistencies. 3. Validate key data and execute billing in accordance with guidelines. **Job Description** ---------------------- Accurately execute billing and submission while ensuring process quality and compliance. 1\. Review assigned cases according to defined prioritization criteria (age, type of guarantor, amount, etc.) within established timeframes and meet assigned targets. 2\. Verify that the file is complete per applicable requirements (medical records, forms, clinical supporting documents, administrative supporting documents, etc.). 3\. Confirm that documentation complies with IAFAS contract requirements (per the checklist provided for performing this function). 4\. Identify inconsistencies in documentation or supporting materials and coordinate their resolution with relevant departments (facilities, medical audit, IAFAS, etc.). 5\. Record observations regarding documentation or file assembly in designated tools (systems, drives, files, etc.) and raise alerts on inconsistencies or process breakdowns. 6\. Prepare the billing file with all required documents and supporting materials, validating order and consistency, and ensuring compliance with the quality checklist prior to submission. 7\. Validate key billing data: patient, coverage, codes, amounts, conditions, etc., and execute billing for services in accordance with established process and quality guidelines. 8\. Submit invoices and files through the portals or channels defined by each IAFAS, validate correct information loading per established control and quality guidelines, monitor rejections or inconsistencies during submission, and promptly report them to your immediate supervisor. **Candidate Requirements** -------------------------- * Completed or incomplete university or technical studies in Administration or related fields. * Minimum 6 months’ experience in administrative roles or similar positions, preferably in the healthcare sector. * Knowledge of billing processes is desirable. * Knowledge of payment vouchers is desirable. * Basic Excel proficiency (data entry, validation; intermediate level). **Selection Process** ------------------------ Our selection process is conducted via Aira — a recruitment platform designed to enhance your application experience. To apply, you only need: 1\. Apply to the position 2\. Check your email 3\. Log in to Aira and respond to the requested questions and/or assessments Then, if your profile matches our requirements, we will contact you via email (through Aira) to proceed to the in-person stage. **About Us** ------------------ Auna is a leading organization whose primary commitment is delivering health and wellness to its members and patients. We continuously pursue innovation to provide high-quality, accessible health solutions for everyone. We operate in Peru, Colombia, and Mexico and have over 14,500 employees. At Auna, we implement a comprehensive, person-centered healthcare model—the most important pillar of our mission. **Our Benefits** ----------------------- * Medical insurance * Training and courses * Wellness activities * Meal subsidy * Product discounts
María García
Indeed · HR
María García
Indeed · HR
