Medical Billing and Claims Specialist - San Juan, PR

· El Especialista de Reclamaciones (Auditor) es responsable de asegurar el cumplimiento con las regulaciones de pago. · ...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. · The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to fee ...

The Clinical Investigation Analyst CIC will investigate Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment ...

The Provider Service Representative is responsible for answering and making telephone calls to participating and non-participating providers offering services in the service area and outside the plan service area, as well as to policyholders. · Guarantees that situations or servi ...

+Job summary · Representante de Servicio al Proveedor · +Evaluate, solve, and document the situations presented in the call by policyholders, members, and providers, · Channeling policyholders, member or providers concern's according to policy and procedures. · +QualificationsBac ...

Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… Providing high quality services to client and beneficiaries is at the core of what we do every day. ...

+Serves as an Aviation Safety Analyst in the Flight Standards Service Flight Technologies & Procedures Division. · ...

We are seeking a detail-oriented and experienced APR-DRG Billing Specialist specializing in Medicare to join our healthcare billing team. · The ideal candidate will possess strong knowledge of DRG CPT coding ICD 9 ICD 10 and medical billing processes.,Review and analyze medical r ...

This role requires associates to be in-office 1-2 days per week. · ...

The Customer Care Representative is responsible for successfully completing the required basic training and performing basic job functions with help from coworkers. · ...

The Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. · ...

This position reports to the Clinical Supervisor – Pharmacy Coverage Determinations. The Clinical Specialist II is responsible for reviewing, evaluating, communicating and documenting coverage determination requests. · The individual will focus on initiating and supporting cost-e ...

Attends all call types - from order status, billing balances and/or repair status. To create and maintain service documentations for a new service request, claim or technical situations using the systems assigned by the company. Orientation for a new services or rates plans. Perf ...

We are looking for an energetic problem solver with import/export and ocean freight experience to join our operations team in San Juan. · ...

The Customer Service Coordinator plays a key role in ensuring that customers receive the highest level of service and support. · <h2 ...

This role involves reviewing medication requests for clinical appropriateness while ensuring timely processing of these requests. · The individual will be responsible for communicating with healthcare providers to obtain complete information regarding patient care, · focusing on ...

We are seeking a detail-oriented HR Administrative Support professional to join our Human Resources team. · ...

Bayer seeks an incumbent who possesses the following: Strong negotiation skills with in-depth knowledge and experience in contract negotiations, strategy, understanding of contract terms and conditions, and relationship management skills; · Excellent verbal and written communicat ...

This role plays a critical part in ensuring compliance with core HR administrative functions, state and federal agency reporting, and payroll-related obligations. The ideal candidate is organized, dependable, and comfortable handling confidential employee information in a multi-s ...

+Job summary · We are looking for an energetic problem solver with import/export and ocean freight experience to join our operations team in San Juan.++Provide exceptional customer service while building relationships with new and existing customers. · Manage all inquiries and re ...