Empleos: billing specialist

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.This is a remote role. Candidate must be fully bilingual in English and Spanish.Essential Functions & ResponsibilitiesIdentify the necessity of the review process and...

POSITION SUMMARYThe Clinical Specialist I – Pharmacy Coverage Determinations supports the Clinical Supervisor by reviewing and making decisions on pharmacy benefit coverage requests, including formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions. The role involves evaluating clinical appropriateness, identifying...

We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. SUMMARY 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...

CEVA Logistics provides global supply chain solutions to connect people, products, and providers all around the world. Present in 170+ countries and with more than 110,000 employees spread over 1,500 sites, we are proud to be a Top 5 global 3PL.We believe that our employees are the key to our success. We want to engage and empower our diverse, global team to...

CEVA Logistics provides global supply chain solutions to connect people, products, and providers all around the world. Present in 170+ countries and with more than 110,000 employees spread over 1,500 sites, we are proud to be a Top 5 global 3PL.We believe that our employees are the key to our success. We want to engage and empower our diverse, global team to...

General Job SummaryResponsible for the operational phase of the institution's voice and data communications, ensuring high availability, performance, and security across all branches, departmental offices, and cloud services. Operates and optimizes LAN/WAN/SD‑WAN, enterprise Wi‑Fi, Internet/MPLS/LTE links, VPN (site‑to‑site and remote access), IP...

Company: Island FinanceWith over 66 years of service, Island Finance LLC is the largest financial institution in Puerto Rico. It serves over 70,000 clients, with consumer loans and a variety of financial products and services. Additionally, it has a comprehensive distribution network with 46 branches, a call center, and an advanced Internet banking service...