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- ...access and billing operations for diabetes therapies at Medtronic's San Juan office. The role combines insurance verification, claims processing, reimbursement issue resolution, and inside sales activities to help patients access diabetes equipment and supplies....ClaimsWork at officeRemote work
Medtronic
Puerto Rico9 days ago - ...Technician - ASP is a professional in charge of receiving and processing medical prescriptions. They will attend to the patient with the... ...system to obtain patient and medication information to process claims to medical plans in a timely and efficient manner. Assist new...Claims
Alivia Health
Puerto Rico5 days ago - ...authorization requests, drug use review, among others, to ensure that claims are correctly and timely adjudicated. Essential Functions:... ...system overrides (e.g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated. 5....Claims
APS Health Care PR
Puerto Rico8 days ago - ...management and be a key asset in operational efficiency increases and process improvements through data analysis and reporting.... ...contracts and reimbursement paid in the principal payors of PBM claims and inform respective department heads for correction as needed...Claims
Alivia Health
Puerto Rico5 days ago $21 per hour
...opportunity in the healthcare services industry supporting clinical claims review. This role is ideal for a licensed Registered Nurse in... ...operations setting where clear communication, teamwork, and process consistency are valued. This is an excellent opportunity to build...ClaimsHourly payContract workTemporary workRemote workAppleOne
Puerto Rico3 days ago- ...all back up. If payment center, make sure all is submitted as process in place. Revise BOL’s once the cargo is delivered or picked... ...short or damages cargo upon arrival. Notify cargo damage to claims department with corresponding backup. Responsible to manage...ClaimsImmediate start
CBX Global
Puerto Rico27 days ago - ...DUR research; # Award and review prescription drug insurance claims that will be delivered to patients and providers; Other duties... ...personal attention, and an efficient, transparent and simple process from end to end. The CM must tend to the Patient’s needs,...Suggested
Alivia Health
Puerto Rico5 days ago - ...Commercial, and Employer clients, including complex setups and process changes. The fundamentals for the job… ~Execute standard... ...triage support within SLAs/SLOs to verify and analyze pharmacy claims processing case research referred for validation. ~...ClaimsWork experience placementLocal areaVisa sponsorshipWork visaFlexible hoursAfternoon shift
Abarca Health LLC
Puerto Rico13 days ago - ...and document the care delivered. Use prescription and medical claims data and client formulary information to provide clinical... ...Constantly evaluate, analyze, and look for methods to streamline processes to ensure improved patient care, outcomes, and program quality....ClaimsTemporary workLocal areaVisa sponsorshipWork visaFlexible hoursAfternoon shift
Abarca Health LLC
Puerto Rico14 days ago - ...support and/or lead teams through the Engineering development process and implementation of company’s products. Projects are typically... ...are responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeTemporary workWork at officeLocal areaImmediate start
Hewlett Packard Enterprise
Puerto Rico3 days ago - ...the Open Door Policy; and applying these in executing business processes and practices. What you'll do... Maintains safety of Facility... ...with Company policies and procedures by properly handling claims and returns zoning the area receiving and stocking merchandise...ClaimsFull timeShift work
- ...manufacturing operations, product cost structures, and supply chain processes.Experience working with global manufacturing partners in the... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeContract workWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico3 days ago - ...strategic projects and initiatives to improve or implement new processes. A strong background in AI tools and AI project implementation... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent communication...ClaimsFull timeTemporary workWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico2 days ago - ...of cost, direction and people management. Provides guidance on process improvements and recommends changes in alignment with business... ...are responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico2 days ago - ...maturity, efficiency, and scalability by establishing risk-based processes, standards, methodologies, and technology-enabled solutions... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent communication...ClaimsFull timeWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico4 days ago - ...support critical operations—ranging from business and back-office processes to interactions with customers, brokers, and partners. We are... ...Engage with internal platform users—teams across underwriting, claims, customer service, finance, and operations—to understand...ClaimsFlexible hours
Optima Seguros
Puerto Ricoa month ago - ...Investments, the role supports business performance across underwriting, claims, customer analytics, finance, risk, compliance, investment... ...data. Establish data-quality and reporting-control processes. Support advanced analytics and data-science teams with reliable...Claims
- ...oriented Python and Perl, Linux environments, and manufacturing test processes.In this role, you will develop scalable and reliable test... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico3 days ago - ...designs support efficient assembly, pack-out, storage, and shipping processes.Review and respond to packaging-related production issues from... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeContract workWork at officeLocal areaImmediate startWorldwide2 days per week
Hewlett Packard Enterprise
Puerto Rico2 days ago - ...Establish and manage cyber incident response and crisis-management processes. Lead security monitoring, threat intelligence,... ...Security Focus Insurance Policyholder/customer data Claims systems Underwriting platforms Actuarial systems...Claims
- ...Specialists in responding to coverage determination requests, and claims pending to be adjudicated for Commercial and Medicare-plan... ...team, performance review, growth conversation, and calibration processes. Support the Knowledge Accelerator team in creating content,...ClaimsSeasonal workLocal areaVisa sponsorshipWork visaFlexible hoursAfternoon shift
Abarca Health LLC
Puerto Rico14 days ago - ...of cost, direction and people management. Provides guidance on process improvements and recommends changes in alignment with business... ...are responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent...ClaimsFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico4 days ago - ...analytical skills, health insurance knowledge, and experience working with claims, utilization, benefits, demographic, and financial data. In this position, you will support the renewal process for fully insured group health and life insurance accounts by preparing...ClaimsTemporary work
- ...inventory. Shipping & Fulfillment Ensure online store orders are processed and delivered within promised timeframes. Negotiate rates... ...options. Manage incidents: delays, losses, returns, and claims. Planning Build the operational calendar for each...ClaimsContract work
Rimas Entertainment LLC
Puerto Rico8 days ago - ...investor lifecycle—from onboarding and KYC through policy servicing, claims, payments, investment transactions, portfolio monitoring, and... .... Identify opportunities to digitize manual and legacy processes. Lead digital transformation programs across business functions...Claims
- ...scheduling and coordinating demand/supply management, business processes and/or manufacturing/delivery of products and services to the... ...responsible for verifying the credentials of any third party claiming to represent the company. Any reliance on fraudulent communication...ClaimsFull timeContract workWork at officeLocal areaImmediate start2 days per week
Hewlett Packard Enterprise
Puerto Rico3 days ago - ...PharmPix clients. The Benefit Configuration Specialist I will test claims and perform quality assurance reviews to ensure desired results... ...and take corrective action. #Research and respond to claims processing and system configuration inquiries from internal departments...ClaimsWork experience placementWork at officeImmediate startWeekend workAfternoon shift
Pharmpix
Puerto Rico16 days ago - ...as the primary subject matter expert for client data exchange processes, ensuring seamless integration between client systems and internal... ..., steady state, and optimization for recurring eligibility, claims, accumulators, and related feeds. ~ Formally own data quality...ClaimsWork experience placementLocal areaVisa sponsorshipWork visa
Abarca Health LLC
Puerto Rico20 days ago - ...Associate Configuration Analyst role, you’ll be responsible for the process plan configuration setup for new Medicare, Medicaid, Commercial... ...sense of urgency support to other areas to verify and analyze claims processing cases, eligibility, and other operational situations...ClaimsWork experience placementLocal areaVisa sponsorshipWork visaFlexible hoursAfternoon shift
Abarca Health LLC
Puerto Rico8 days ago - ...communicate findings to the Supervisor to identify and implement process improvements. \n Anticipate future needs based on consumption,... ...related to inventory discrepancies. \n Support return, claims, or merchandise disposal processes in accordance with company policies...ClaimsImmediate startRelocationWeekend work
Bio-Nuclear of Puerto Rico
Puerto Ricoa month ago
