Empleos: billing specialist
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Network & Communications Administrator
hace 3 días
San Juan, San Juan, Puerto Rico Island Finance A tiempo completoCompany: 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...
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Professional Review Specialist I
hace 6 días
Guaynabo, Guaynabo, Puerto Rico CorVel Corporation A tiempo completo $19 - $30The 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...
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Network & Communications Administrator
hace 6 días
San Juan, San Juan, Puerto Rico Island Finance A tiempo completoGeneral 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...
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Clinical Specialist I
hace 6 días
Guaynabo, Guaynabo, Puerto Rico PharmPix Corp A tiempo completoPOSITION 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...
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Customer Service Representative
hace 6 días
Guaynabo, Guaynabo, Puerto Rico WorldNet Telecommunications LLC Human Resources Group A tiempo completoWe 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...
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Professional Review Specialist I
hace 7 días
, Puerto Rico CorVel Corporation A tiempo completoThe 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...
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Network & Communications Administrator
hace 7 días
, Puerto Rico Island Finance A tiempo completoGeneral 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...
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Clinical Specialist I
hace 7 días
, Puerto Rico PharmPix Corp A tiempo completoPOSITION 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...
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Customer Service Representative
hace 7 días
, Puerto Rico WorldNet Telecommunications LLC / Human Resources Group A tiempo completoWe 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...
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Customer Service Representative
hace 7 días
, Puerto Rico Worldnet Telecommunications Llc A tiempo completo<p>We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.</p><p>SUMMARY</p><p>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...
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Rcm Data Specialist
hace 7 días
, Puerto Rico Alivia Health, Llc A tiempo completo<p>The RCM Data Specialist will be responsible for working on the Avizzor portal, where they will audit and assign the billing of managed plans to the corresponding "Queques", as well as transmit cases in "Accepted" status.</p><p>Responsibilities:</p><p> * Check that each invoice has the supporting documents required by Avizzor....
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Pod Pharmacy Support Specialist
hace 7 días
, Puerto Rico Alivia Health, Llc A tiempo completo<p>JOB SUMMARY & RESPONSABILITIES:</p><p>Responsible for the receipt, handling,filing of Proof of Delivery (POD) documents and ensuring completeness in the POD cycle. Ensures files are organized and retained as per the corresponding policy. The Delivery Tickets Support Specialist is responsible for making calls and emails related to the...
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Pod Pharmacy Support Specialist
hace 7 días
, Puerto Rico Alivia Health A tiempo completo<p>JOB SUMMARY & RESPONSABILITIES:</p><p>Responsible for the receipt, handling,filing of Proof of Delivery (POD) documents and ensuring completeness in the POD cycle. Ensures files are organized and retained as per the corresponding policy. The Delivery Tickets Support Specialist is responsible for making calls and emails related to the...
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Accounts Receivable Specialist
hace 7 días
, Puerto Rico Thomas Diaz, Inc. A tiempo completo<p>*Job Summary*<br/>We are seeking a detail-oriented and experienced Accounts Receivable Specialist to join our finance team. The ideal candidate will be responsible for managing the company's accounts receivable processes, ensuring accurate billing, collections, and reconciliation. This role requires a strong understanding of financial...
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Field Reimbursement Specialist
hace 7 días
, Puerto Rico Abbvie, Inc. A tiempo completo<p>Company Description</p><p>AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care...
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Supply Chain Operations Specialist Ii
hace 7 días
, Puerto Rico Ceva Group Plc A tiempo completo<p>******</p><p>San Juan, PR</p><p>Supply Chain Operations Specialist II</p><p>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...
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Billing Specialist
hace 7 días
, Puerto Rico Emergency Billing Services A tiempo completo<p>En Emergency Billing Services estamos buscando una persona con conocimiento en facturación de planes médicos, orientada a la organización y la precisión. Trabajará en un ambiente estructurado, con procesos claros y apoyo del equipo para manejar reclamaciones, documentación y seguimiento.</p><p>El rol incluye trabajo en portales de...
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Supply Chain Operations Specialist Ii
hace 2 semanas
San Juan, Puerto Rico Ceva Group Plc A tiempo completo****** San Juan, PR Supply Chain Operations Specialist II 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...