Medical Accounts Analyst@ Medical Health
Santo André, São Paulo, Brazil
Drielle Leite
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FlashIntel GPTDrielle Leite is a highly experienced professional with 12 years of expertise in medical accounts analysis, quality assurance, and quality assurance. She has a strong understanding of the health and safety sectors, including auditing, contract management, and compliance with ANS regulations. Drielle is skilled in analyzing and analyzing medical records, ensuring compliance with regulations, and negotiating with insurance companies. She is also experienced in developing and implementing plans and reports for managerial assistance. Drielle has worked in various roles, including Senior and Senior Medical Accounts Analyst at Medical Health in Brazil.
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Experiência de 12 anos em análise de contas médicas, recurso de glosa e faturamento com forte atuação no segmento de seguro de saúde/hospitalar. Amplo conhecimento em análise de contas médicas, fluxo de auditoria, regras de contrato, auditoria externa, recurso de glosas, regras e normas da ANS, técnicas de faturamento médico hospitalar, tabelas de honorários médicos, diárias e taxas hospitalares, domínio de tabelas oficiais (AMB, CBHPM, TUSS, BRASINDICE e SIMPRO); Realização de levantamentos e conciliações de glosas e baixas de valores recebidos e cobrança dos que não foram pagos e negociação de glosas junto aos prestadores. Desenvolvimento e elaboração de planilhas e relatórios para acompanhamento gerencial.
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Medical Accounts Analyst
analista de contas médicas sênior recurso de glosa
Senior Accounts Payable Analyst
Wellness and Fitness Services
Drielle Leite's Professional Milestones
- Medical Accounts Analyst: Provided strategic insights and tailored solutions to optimize healthcare delivery and patient care.
- analista de contas médicas sênior recurso de glosa (2022-02-01~): Implementing a robust quality control system to ensure quality healthcare services for all populations across the medical services department.
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Drielle Leite works for Medical Health
Drielle Leite's role in Medical Health is Medical Accounts Analyst
Drielle Leite works in the industry of Wellness and Fitness Services
Drielle Leite's latest job experience is Medical Accounts Analyst at Medical Health
