Top 11 Health coordinator Jobs in San Juan Pr

Epic Denials Management Coordinator
Deloitte —San Juan, PR
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d
Healthcare Services Coordinator (Determination Letters) - San Juan, PR
Optum —San Juan, PR
- Overtime
- Microsoft Outlook
- Computer literacy
- Medical office experience
COB Outreach Coordinator
Optum —San Juan, PR
- Overtime
- Microsoft Outlook
- Pass drug screening
- English
Patient Experience Coordinator
PanOncology Trials —Carolina, PR
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Patient Coordinator
Meridiana Surgical —Manatí, PR
- From $12 an hour
- Part-time
- Hybrid work
- Surgery
- Medical office experience
- English
- Flexible schedule
Quick Apply
Coordinador de Servicios - Service Coordinator
A Medical Group —San Juan, PR
- $11.50 an hour
- Full-time
- Analysis skills
- Communication skills
- Entry level
- On-the-job training
Quick Apply
ADVANCED CLINICAL SYSTEMS COORDINATOR
Bio-Nuclear of Puerto Rico —San Juan, PR
- Overtime
- Organizational skills
- Communication skills
Quick Apply
Sales & Patient Care Coordinator (Front Desk)
Nefer Aesthetic Clinic —Bayamón, PR
- $11 an hour
- Full-time
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
7d

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Epic Denials Management Coordinator

Deloitte -
San Juan, PR

Apply Now

Job Details

Full-time
$50,000 - $60,000 a year
12 days ago

Qualifications

Appeals
Enterprise software
Accounting software
Clinical information systems
Medical insurance appeals management
Insurance claims appeal handling

Full Job Description

Position Summary

Join Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 01/01/2027.

Work you'll do

As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers. Conduct Denial categorization and root cause analysis based on remittance information received from payer. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes. Determine appropriate denial responses based on denial reasons. Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional documentation to payers as needed to resolve denial issues. Document denial details, research conducted, and follow-up activities conducted in relevant EMR and patient accounting systems. Review AR aging reports and work queues to identify unpaid and delayed claims. Follow up with third party payers on open denials, denial appeals, and other outstanding balances related to denials to understand claim status and payer requirements to adjudicate claim. Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows. Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management. A successful candidate would possess these skills:

Ability to work independently and collaborate as part of a team
Effective written and verbal communication skills
Meticulous attention to detail and quality of work product
Ability to build and sustain professional relationships
Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
Strong interpersonal skills and professional demeanor
Ability to meet deadlines

The team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications

Required:

1+ years of experience in hospital account denial management and appeals
Experience using Epic Resolute Hospital Billing
Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
Experience working in claims clearinghouse systems
Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
Limited immigration sponsorship may be available.

Preferred:

Experience using Microsoft Word, Excel, and PowerPoint
Experience supporting clinical or healthcare business operations
Experience managing multiple projects or workstreams
Experience preparing and delivering technical demonstrations
Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000 to $60,000 with overtime pay possible.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Apply Now

Refine Your Search

health coordinator jobs in san juan pr

Epic Denials Management Coordinator

Healthcare Services Coordinator (Determination Letters) - San Juan, PR

COB Outreach Coordinator

Patient Experience Coordinator

Patient Coordinator

Coordinador de Servicios - Service Coordinator

ADVANCED CLINICAL SYSTEMS COORDINATOR

Sales & Patient Care Coordinator (Front Desk)

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