No college degree or healthcare experience required. Just the will to understand how a hospital's money is created, lost and recovered.
Every episode of care in a hospital becomes a bill. Between that care and the money in the bank lies a maze of rules: payer contracts, the TUSS table, CBHPM, Brasíndice, implants (OPME), TISS forms, audits, denials, appeals. Those who know this maze are the ones who make sure the hospital gets what it is owed.
Job postings ask for the same things: TISS XML, TUSS, payer contracts, OPME, denial handling, hospital systems. Most courses teach the theory and stop there. We teach with the bill in hand, in the system, with the payer rule open beside it. That is how we work; that is how you will learn.
You come from administration, finance, retail or customer service. You know how to handle spreadsheets, deadlines and customers, but you've never seen a TISS form. This course is your entry point: in five classes you'll understand how hospitals bill, why they lose money and what a billing specialist does to prevent it. No college prerequisite.
You enter charges, check forms, take a beating from denials and feel you learned by improvising. Here you get the method: contract read before the bill, items validated against the rule, appeals written to be accepted. It's the difference between the billing clerk who executes and the analyst the hospital doesn't want to lose.
You're a technician or nurse, working in care or billing, and you want the side of the table that judges the bill: pre-audit, concurrent audit, medical necessity, OPME, negotiation with payers. The course shows both tracks side by side because, in practice, a good auditor is one who understands billing from the inside.
If you saw yourself in one of the three, the Q1/2027 class was designed for you.
Each live class lasts 2 hours and follows the path money takes inside the hospital. Billing specialists and auditors learn together, because in real life one can't close a bill without the other. Before each class you receive written material and a short prep video; afterwards, the recording and a graded exercise.
How hospitals earn and lose money; private healthcare (ANS, payers, contracts, payment models) and SUS (funding, tables, accreditation); the roles of billing specialists and auditors; where revenue leaks.
Anatomy of the bill: daily rates, fees, supplies, drugs, OPME, professional fees, gases, diagnostics (SADT); tables and how they combine; reading the contract; pre-billing and closing.
TISS forms (consultation, SP/SADT, inpatient, professional fees), XML, validation, submission and return; payer portals; in SUS, AIH, APAC, BPA, SIGTAP and the compatibility rules.
Types of denial (technical, administrative, linear, by DUT); remittance analysis; deciding what to appeal; writing the appeal; deadlines; negotiating with the payer; indicators.
Pre-audit, concurrent and retrospective audit; medical necessity and evidence in the medical record; audit opinion; OPME and high-cost items; ethics and LGPD; final project presentation and certificate.
Complete workbook for the five classes; recorded videos by topic to review whenever you want; revenue cycle glossary (private healthcare and SUS); denial appeal and audit opinion templates; bill closing checklist; access for 6 months.
Hospital Billing and Claims Audit Program, Accrua Academy, 10 live hours + supplementary material, with the final project described on the back. Issued to those who attend at least 4 of the 5 classes and submit the project.
Most courses start with the ANS and end with the table. We start with a real, anonymized bill and bring in theory as it comes up: the contract that defines the table, the rule that explains the denial, the medical record that supports the appeal. It is the method we use to run the revenue cycle of the hospitals we serve, and it's how professionals actually learn day to day, just without taking months.
Every class has a bill, a remittance or a medical record open on screen. You don't just watch; you close, audit and appeal.
No item is charged without checking what the payer contract allows. It's the habit that separates those who lose to denials from those who prevent them.
Billing specialists and auditors learn together: those who bill understand what the auditor looks for; those who audit understand how the bill was built.
Practice happens in the systems job postings ask for, not in a sample spreadsheet.
You leave with a final project of your own, a bill closed, denied, appealed and audited, to show at your first interview.
Billing and audit job postings ask for hospital system experience, and those without it are filtered out at screening. In the course you practice billing and audit routines in the most widely used environments in Brazil and, beyond them, on the Accrua platform, where artificial intelligence already handles the repetitive pipeline and the professional keeps the judgment.
Accrua runs hospital revenue cycles and needs billing specialists and auditors. So do the hospitals we serve. And the whole market is looking for people with the qualifications you'll have. That's why every student who completes the course joins our talent pool and receives, before anyone else, the openings at Accrua and our clients.
Openings for billing specialists, account analysts and auditors on the team that runs our clients' revenue cycles, with the platform you already know.
Direct referral to the billing and audit teams of the hospitals we serve, who know the method and what the certificate means.
A résumé with a final project, a recognized certificate and command of the systems job postings ask for. You choose where to go.
There's no obligation. The course creates no bond, exclusivity contract or minimum period with Accrua. The talent pool is a benefit you can accept or not when you complete the course.
See open positions at AccruaLive billing and audit courses in Brazil cost between R$ 440 and R$ 900 and include neither system practice nor a path to employment. A postgraduate program in the field costs R$ 1,100 to R$ 17,500 and takes a year.
If it isn't what you expected, request a full refund within 7 days after class 1.
Accrua runs hospital revenue cycles with technology and a team of billing specialists and auditors who live and breathe denials, contracts and appeals. The course instructors are the same people who design and run this process at our clients. They don't teach what they read; they teach what they did yesterday.
No. The course starts from scratch and most billing positions require a high school diploma. For auditing, the market usually prefers technical or higher education in healthcare; the course prepares you for both tracks and you choose yours.
They are live, online, 2 hours each, once a week [CONFIRMAR: dia e horário]. The recording is available the next day. To receive the certificate, you need to attend at least 4 of the 5 classes and submit the final project.
Market hospital systems (MV, Tasy, TOTVS Saúde) and payer portals are presented in guided demos of real billing and audit routines. Hands-on practice happens on the Accrua platform and the public SUS tools.
Both. Class 3 dedicates half its time to SUS (SIGTAP, AIH, APAC, BPA) and the written material covers the most common compatibility rules.
No. There's no bond, exclusivity or minimum period. The talent pool is a door; you decide whether to walk through it.
R$ 840 in up to 10 interest-free credit card installments, or R$ 756 upfront via Pix or boleto, with a 10% discount. Enrollment is confirmed immediately.
Attend the first class. If it isn't for you, request a refund within 7 days after class 1.
In the first quarter of 2027 [CONFIRMAR: data]. Seats are limited because the final project is graded individually.
It is a non-degree course certificate, with workload and content described. It's useful for your résumé, recruitment processes and proof of supplementary hours where the institution accepts non-degree courses; it does not replace a postgraduate degree.