Top 62 Authorization representative Jobs in Puerto Rico

Case Review Representative
OncoHealth —Guaynabo, PR
- $13 - $15 an hour
- Monday to Friday
- Hybrid work
- Spanish
- English
- Mid-level
- Health insurance
Quick Apply
Funeral Arranger
Funeraria Del Pilar —Canovanas, PR
- Full-time
- Clean driving record
- Word processing
- Computer literacy
Quick Apply
Funeral Arranger
Funeraria Del Angel —Santurce, PR
- Full-time
- Clean driving record
- Word processing
- Computer literacy
Quick Apply
Safety Manager – Puerto Rico
Keolis Transit America —San Juan, PR
- CDL B
- Background check
- Classroom
- Flexible schedule
Quick Apply
Diabetes Sales Representative - PR Northwest & Southwest Region
MM HR —Guaynabo, PR
- From $40,000 a year
- Full-time
- Hybrid work
- Spanish
- Hospital
- Customer service
- Travel reimbursement
- Health insurance
Quick Apply
HP1 Pharmacy Technician
APS Health Care PR —San Juan, PR
- Full-time
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
Representante De Servicio Al Proveedor
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Rotating shift
- Spanish
- English
- Mid-level
9d
NOC Technician Tier 1
WORLDNET TELECOMMUNICATIONS LLC —Guaynabo, PR
- Weekends as needed
- Spanish
- Computer literacy
- English
Quick Apply
Sr Quality Engineer
Medtronic —Humacao Municipio, PR
- Full-time
- Engineering
- Office
- Analysis skills
Bilingual Customer Service Representative
Oriental Bank in San Juan —Bayamón, PR
- Overtime
- Spanish
- Computer literacy
- English
Facilities Program Manager.
Medtronic —Villalba Municipio, PR
- Full-time
- Microsoft Excel
- Up to 50% travel
- Engineering
5d
Sales Coordinator
Casa Costera Apartments by Marriott —Carolina, PR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Aircraft Mechanic (L1)
Lufthansa Technik —Aguadilla, PR
- Extended hours
- Spanish
- Computer literacy
- English
Quick Apply
Representante de Ventas - Mayaguez
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Mid-level
8d
Business Services Specialist
TOTE Resources LLC —San Juan, PR
- Full-time
- Spanish
- English
- Mid-level
- Wellness program
Representante de Ventas - Bayamón
MCS HEALTHCARE HOLDINGS, LLC —Bayamón, PR
- Spanish
- English
- Mid-level
8d
Senior Aircraft Mechanic (L2)
Lufthansa Technik —Aguadilla, PR
- Extended hours
- Spanish
- Computer literacy
- English
Quick Apply
Pharmacy Technician
Target Human Resources Solutions —San Juan, PR
- $12.70 an hour
- Rotating shift
- Hybrid work
- Telehealth
- Entry level
Quick Apply
Associate, Bilingual Customer Service (Sales)
Oriental Bank in San Juan —Bayamón, PR
- Full-time
- US work authorization
- 1 year
- Entry level
Representante de Ventas - Ponce
MCS HEALTHCARE HOLDINGS, LLC —Ponce, PR
- Spanish
- English
- Mid-level
8d

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Case Review Representative

OncoHealth -
Guaynabo, PR

Quick Apply

Job Details

$13 - $15 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

About OncoHealth

OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.

About the Role

The Case Review Representative serves as a one-stop shop and intake of all calls (members and providers). Resolves tier one issues (user resets, provider data management, fax and letter receipt, general questions).

Primary Responsibilities

Flexible to work rotational shifts inside our office hours from 8:00 a.m. – 8:00 p.m. EST to cover the operational needs of the company. Shifts can range anywhere between Monday – Friday 8:00 am to 8:00 pm EST and Saturdays 8:30 am - 5:00 pm EST (Office hours may change/extend upon operational needs)
Fax intake and labeling
Prior authorization creation
Quality Performance Program Outreach when assigned
Triage and manage inbound calls, routing case specific calls to an appropriate team member, and resolving tier 1 level issues
Triage and manage inbound emails from health plan clients, routing case specific emails to an appropriate team member, and resolving tier 1 level issues
Triage request/claims processing issues to health plans as needed Prior authorization creation
Quality Performance Program Outreach when assigned

About You

College degree or relevant experience preferred
Fully Bilingual (English and Spanish)
Remote/hybrid work experience preferred
A minimum of 2 years of healthcare related administrative experience and/or customer service or relevant educational attainment required
Skills for implementation of systems for program effectiveness and productivity required
Systems/Tools: MS Office Suite proficient

About the Location

OncoHealth is committed to remote, hybrid or in office work options. Our Team in Puerto Rico reports to the office at least 2 times per month (advance notice provided/mandatory requirement) and can work remotely from home the rest of the days. Employees are welcome to work from the office every day if wanted.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!

We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!

OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!

Our Current Solutions

Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.

OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.

OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.

OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.

Quick Apply

Refine Your Search

authorization representative jobs in puerto rico

Case Review Representative

Funeral Arranger

Funeral Arranger

Safety Manager – Puerto Rico

Diabetes Sales Representative - PR Northwest & Southwest Region

HP1 Pharmacy Technician

Representante De Servicio Al Proveedor

NOC Technician Tier 1

Sr Quality Engineer

Bilingual Customer Service Representative

Facilities Program Manager.

Sales Coordinator

Aircraft Mechanic (L1)

Representante de Ventas - Mayaguez

Business Services Specialist

Representante de Ventas - Bayamón

Senior Aircraft Mechanic (L2)

Pharmacy Technician

Associate, Bilingual Customer Service (Sales)

Representante de Ventas - Ponce

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