Top 62 Entry specialist Jobs in Juncos Pr

Clinical Documentation Specialist
TPIS —Trujillo Alto Municipio, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Quality Specialist - Juncos, PR - PhD and/or MD in Microbiology - Entry Level
ISPV, Inc. —Juncos, PR
- $30 - $34 an hour
- Contract
- English
- Analysis skills
- Doctor of Philosophy
- Health insurance
- Dental insurance
Quick Apply
2d
IT SUPPORT SPECIALIST
TPIS —Caguas Municipio, PR
- $14.50 - $16.50 an hour
- Full-time
- Spanish
- English
- Office
Quick Apply
Work from Home Travel Logistics Specialist
Traveling with Mchaila —Carolina, PR
- Part-time
- Remote
- Mid-level
- Administrative experience
- Travel
- Work from home
Quick Apply
Leave Specialist - REMOTE
Ryder System —San Juan, PR
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
13d
Bilingual Legal Intake Specialist - Remote
ALERT COMMUNICATIONS —San Juan, PR
- From $16 an hour
- Part-time
- Remote
- Spanish
- Sales
- English
Quick Apply
7d
Enrollment Specialist - San Juan, PR
Optum —San Juan, PR
- Overtime
- Pass drug screening
- HIPAA
- English
Specialist Apparel
DICK'S Sporting Goods —Carolina Municipio, PR
- Full-time
- Background check
- High school diploma or GED
- 1 year
Specialist Sport & Outdoor
DICK'S Sporting Goods —Carolina Municipio, PR
- Full-time
- Background check
- High school diploma or GED
- 1 year
Specialist Footwear
DICK'S Sporting Goods —Carolina Municipio, PR
- Full-time
- Background check
- High school diploma or GED
- 1 year
Cemetery Services Specialist
Cementerio Parque De Luz —Caguas, PR
- Full-time
- Clean driving record
- High school diploma or GED
- Assembly
Quick Apply
8d
Validation Specialist
Weil Group, Inc —Municipio de Juncos, PR
- Extended hours
- Engineering
- Mid-level
- 1 year
Quick Apply
JR Validation Specialist (Entry Level)
Validation & Engineering Group —San Juan, PR
- Entry level
Quick Apply
Guest Service Support Expert (Part Time)
Marriott International, Inc —San Juan, PR
- $15.93 an hour
- Part-time
- Hotel
- High school diploma or GED
- Restaurant
Guest Experience Expert (Front Desk & PBX) (PT)
Marriott International, Inc —San Juan, PR
- $15.19 an hour
- Part-time
- Hotel
- High school diploma or GED
- Front desk
6d
Cemetery Services Specialist
Funeraria Del Pilar —Canovanas, PR
- Full-time
- Clean driving record
- High school diploma or GED
- Assembly
Quick Apply
GIS Specialist (Puerto Rico)
ICF —San Juan, PR
- $60,940 - $125,354 a year
- Full-time
- Spanish
- Azure
- English
Product Value Specialist
Solventum —San Juan, PR
- Full-time
- Remote
- Nursing
- Public speaking
- English
Guest Service Expert
Marriott International, Inc —San Juan, PR
- $14.56 an hour
- Full-time
- Hotel
- High school diploma or GED
- 1 year
Guest Service Expert (Part Time)
Marriott International, Inc —San Juan, PR
- Part-time
- Hotel
- High school diploma or GED
- 1 year

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entry specialist jobs near juncos pr

Clinical Documentation Specialist

TPIS -
Trujillo Alto Municipio, PR

Quick Apply

Job Details

Full-time
$13.25 an hour

Qualifications

Spanish
English
Medical terminology

Full Job Description

Permanent Placement Position

We are looking for a clincial admisntrative support role that will be responsible for receiving, registering, and forwarding requests for organizational determination and/or any associated clinical documentation or documentation for the clinical management of the insured. Works with the authorizations of services already predetermined through the automatic process using the benefits criteria and in compliance with the applicable organizational determination regulation and universes, reports, and the applicable regulation. If you have strong attention to detail skills and healthcare industry background this position is for you!

ESSENTIAL FUNCTIONS :

Receives via facsimile, email, regular mail, or provider portal the requests for pre-service organizational determination and/or any clinical documentation for insured management.
Performs Gatekeeper roles according to operational needs to support group leaders in classifying the documentation received and distributing the rest to the technicians.
Check the expiration date of faxes in conjunction with the group leader.
Manages and analyzes assertively and exhaustively the documentation received, including medical orders, to establish the type of service requested and the level of urgency and ensure that it meets the minimum requirements.
Performs the eligibility search and the Pre-authorization requirement of the requested service. Validates information with the provider to complete the process.
Documents the pre-authorization in the insured's file, entering the data that complies with the requirements established in reports and/or applicable regulations.
Handles complex requests such as services in the US, durable medical equipment, and hospital discharge requiring additional interventions in direct communication with clinical areas to facilitate the process.
Performs the authorization of services already predetermined through the automatic process using the benefits criterion in compliance with the applicable regulation, including notification to the insured/provider.
Monitors assigned request times to maintain the compliance percentage for both authorizations and area assemblies.
Answers the calls received in the unit in compliance with HIPAA regulations and forwards them to the corresponding programs, including calls with complex scenarios such as those in the US requiring intervention and even guidance and assistance.
Appropriately handles appeals requests requiring communication and service alliances with the Grievances and Appeals Unit, knowledgeable about the appeal scenarios and the impact on STARS.
Works with the queries and requests referred from the Call Center and Service Centers to facilitate the service either by modifying the Pre-authorizations or handling the verbal requests of the insured.
Inform the Providers Department of the services that require payment agreement letters for the additional nonparticipating providers. Coordinates the configuration of non-existent providers in the tools.
Complies fully and consistently with the Company's standards, policies, and procedures and the local and federal laws applicable to our industry, business, and employment practices.

Requirements:

Associate’s Degree and/or sixty to sixty-four (60-64) university credits equivalent to six (6) months to one (1) year of studies in a health-related area.

At least one (1) year of related experience.

Other: Knowledge of Medical Terminology. CPT and ICD-10 Codes are preferred.

Languages:

Spanish Intermediate (conversational, writing, and comprehension)

English Intermediate (conversational, writing, and comprehension)

Required availability:

Monday to Saturday, 8:00am - 6:00pm (rotating schedules)

Hybrid Modality

Compensation :

$13.25 ph + benefits

TPIS is an employer with equal opportunity in employment and take Affirmative Action to Recruit Women, Minorities, Protected Veterans, and Persons with Disabilities.

Monday to Saturday, 8:00am - 6:00pm (rotating schedules)

Hybrid Modality

Quick Apply

Refine Your Search

entry specialist jobs in juncos pr

Clinical Documentation Specialist

Quality Specialist - Juncos, PR - PhD and/or MD in Microbiology - Entry Level

IT SUPPORT SPECIALIST

Work from Home Travel Logistics Specialist

Leave Specialist - REMOTE

Bilingual Legal Intake Specialist - Remote

Enrollment Specialist - San Juan, PR

Specialist Apparel

Specialist Sport & Outdoor

Specialist Footwear

Cemetery Services Specialist

Validation Specialist

JR Validation Specialist (Entry Level)

Guest Service Support Expert (Part Time)

Guest Experience Expert (Front Desk & PBX) (PT)

Cemetery Services Specialist

GIS Specialist (Puerto Rico)

Product Value Specialist

Guest Service Expert

Guest Service Expert (Part Time)

I want to receive the latest job alert for entry specialist in juncos pr

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