Top 18 Document specialist Jobs in Guaynabo Pr

Clinical Documentation Specialist
TPIS —Carolina, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Clinical Documentation Specialist
TPIS —Guaynabo Municipio, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Clinical Documentation Specialist
TPIS —Trujillo Alto Municipio, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Clinical Documentation Specialist
TPIS —San Juan, PR
- $13.25 an hour
- Full-time
- Spanish
- HIPAA
- English
Quick Apply
Document Controls (LSNA-PR)
Jacobs —Guaynabo, PR
- $58,656 - $100,000 a year
- Full-time
- Mid-level
- Office
- Microsoft Office
- Paid holidays
- Health insurance
6d
Document and Data Mgmt Specialist II
Fluor Corporation —San Juan, PR
- Mid-level
- 8 years
- Bachelor's degree
- AD&D insurance
- Disability insurance
DOCUMENT CLERK SPECIALIST SQF
Able Sales Company Inc —Cataño, PR
- Full-time
Quick Apply
4d
QA / CQV Document Control
Validation & Engineering Group —Municipio de Juncos, PR
- 5 years
- Engineering
- Office
Quick Apply
Manufacturing Document Clerk
Mentor Technical Group —Carolina, PR
- Full-time
- Mid-level
- Office
- Organizational skills
Lead Document Control
Mace —Carolina, PR
- Full-time
- Training & development
- Senior level
Documentation Coordinator - Región Norte (Arecibo)
Consertus —San Juan, PR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Documentation Technician
Mentor Technical Group —Carolina, PR
- Spanish
- Writing skills
- English
Electronic Documentation Technician
Mentor Technical Group —Carolina, PR
- Spanish
- Writing skills
- English
Document Auditor
Allied Car & Truck Rental —Carolina, PR
- From $10.50 an hour
- Full-time
- Microsoft Excel
- English
- In-person
Quick Apply
Staff Design Engineer, Document Foundations
Adobe —Carolina, PR
- $178,600 - $301,600 a year
- Full-time
- 8 years
- Mentoring
- APIs

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Bio-Nuclear of Puerto Rico —San Juan, PR
Perform administrative tasks such as calls, documentation, filing, and correspondence management. Handle daily customer communications such as phone calls, text…
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Coordinate document delivery to meet project schedule and working with Project team/Procurement Lead to ensure the need by dates of documents meet schedules for…
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Clinical Documentation Specialist

TPIS -
Carolina, 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

document specialist jobs in guaynabo pr

Clinical Documentation Specialist

Clinical Documentation Specialist

Clinical Documentation Specialist

Clinical Documentation Specialist

Document Controls (LSNA-PR)

Document and Data Mgmt Specialist II

DOCUMENT CLERK SPECIALIST SQF

QA / CQV Document Control

Manufacturing Document Clerk

Lead Document Control

Documentation Coordinator - Región Norte (Arecibo)

Documentation Technician

Electronic Documentation Technician

Document Auditor

Staff Design Engineer, Document Foundations

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