
Medical Claims Specialist
hace 3 días
Optum is a leading healthcare organization that delivers innovative solutions to improve health outcomes. We are seeking a highly skilled Claims Representative to join our team.
Key Responsibilities- Authorize payments or refer claims for further review, ensuring accuracy and efficiency.
- Conduct data entry and claims processing, meeting turnaround standards and quality expectations.
- Handle issues and escalations, providing exceptional customer service and support.
- Communicate trends and changes in inventory, volumes, and quality remediation, driving continuous improvement.
- 1+ years of experience in a production environment.
- Proficient in MS Office with solid computer skills, including multiple systems experience and keyboarding skills.
- Excellent verbal and written English skills.
- Ability to work 40 hours/week during standard business operating hours, with occasional overtime as needed.
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Claims Processing Representative
hace 7 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoThe Claims Processing Representative at Optum is responsible for supporting the Prospective Investigations process by identifying and keying specific details from medical records. This role ensures the accuracy and efficiency of claims processing, directly impacting the success of our Investigative teams. As a Claims Processing Representative, you will work...
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Medical Interpreter Specialist
hace 5 días
San Juan, San Juan, Puerto Rico Contaclink Solutions A tiempo completoAt Contaclink Solutions, we're committed to delivering exceptional interpreting services that bridge the gap between languages and cultures. As a Medical Interpreter Specialist, you will be an integral part of our team, working closely with clients to provide high-quality interpretations in Spanish.We're looking for professionals who possess excellent...
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Claims Representative
hace 3 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Csv Specialist
hace 3 semanas
San Juan, San Juan, Puerto Rico Qrc Group, Llc A tiempo completoJob Description CSV specialist to perform validation activities on software and manufacturing equipment in a medical device industry.Skills: Computer system validation life cycle.Knowledge and experience validating software and medical devices equipment.Technical writing (English).Requirements Bachelor in Science 5 years of experience Experience in the...
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Csv Specialist
hace 4 semanas
San Juan, San Juan, Puerto Rico Qrc Group Llc A tiempo completoCSV specialist to perform validation activities on software and manufacturing equipment in a medical device industry.Skills:Computer system validation life cycle.Knowledge and experience validating software and medical devices equipment.Technical writing (English).Requisitos:Bachelor in Science 5 years of experience Experience in the medical devices...
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Loss Damage Adjuster Specialist
hace 2 días
San Juan, San Juan, Puerto Rico Busy Season Staffing Solutions A tiempo completoAbout UsBusy Season Staffing Solutions is a leading provider of staffing solutions for the insurance industry.About the RoleThe Property Claims Adjuster will be responsible for evaluating and examining claims, reviewing reports prepared by external parties, and reviewing the corresponding insurance policy against claims received.Key ResponsibilitiesEvaluate...
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Medical Devices Software Validator
hace 3 días
San Juan, San Juan, Puerto Rico Qrc Group, Llc A tiempo completo**Overview:**At Qrc Group, Llc, we are dedicated to providing high-quality medical devices and software solutions. As a CSV specialist, you will play a critical role in ensuring the accuracy and reliability of our products.**Key Responsibilities:*** Perform validation activities on software and manufacturing equipment** Develop and maintain technical...
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Senior Computer Validation Specialist
hace 3 días
San Juan, San Juan, Puerto Rico Qrc Group, Llc A tiempo completo**About Us:**Qrc Group, Llc is a leading provider of medical devices and software validation services.**Job Summary:**We are seeking an experienced CSV specialist to perform validation activities on our software and manufacturing equipment.**Key Responsibilities:*** Validate software and medical devices equipment** Develop technical documents** Ensure...
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Validation Lifecycle Expert
hace 3 días
San Juan, San Juan, Puerto Rico Qrc Group, Llc A tiempo completo**Job Description:**As a CSV specialist at Qrc Group, Llc, you will be responsible for performing validation activities on our software and manufacturing equipment. This includes developing and maintaining technical documentation, collaborating with cross-functional teams to ensure compliance with industry regulations, and identifying areas for...
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Executive Support Specialist
hace 3 días
San Juan, San Juan, Puerto Rico Quality Consulting Group A tiempo completoCompany Overview: QUALITY CONSULTING GROUP is a leader in the pharmaceutical, biotech, medical devices, and manufacturing industry.Job Description:Answer, screen, and direct phone calls; take messages as needed.Manage and organize office supplies and ensure adequate stock levels.Maintain office filing system and digital databases, ensuring accuracy and...
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Equipment Coordinator Specialist
hace 5 días
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoCompany OverviewMentor Technical GroupMentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions to the FDA-regulated industry. As a global leader in life sciences engineering and technical solutions, MTG has the expertise and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety...
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Data Solutions Specialist
hace 6 días
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoMentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry.As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.With offices in...
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Technical Data Lead
hace 6 días
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoAbout UsMentor Technical Group is a world leader in providing comprehensive technical support and solutions for the FDA-regulated industry. Our mission is to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.Our TeamWe are a dynamic team of experts dedicated to delivering exceptional results. We believe...