- Optum (San Juan, PR)
- …Provides phone support to address the needs of members or providers, while actively listening to thoroughly understand the type of assistance required Asks ... Training classes start soon - apply today! Optum 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… more
- Optum (San Juan, PR)
- …Provides customer service support to providers through live phone call or live chat, to give updates on their credentialing status or contracting status and validates ... state specific requirement Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the provider Deliver information and answer questions in a… more
- Optum (San Juan, PR)
- …Outbound calls to members to schedule in home appointment visits with a Physician or Nurse Practitioner for the House Calls Visit Answer inbound calls from members ... and assist them with inquiries Ensure that the appointments are scheduled accurately and resolve any scheduling issues or concern This is high volume, customer service environment. Youll need to be efficient, productive and thorough dealing with our members… more
- Optum (San Juan, PR)
- …Assist Medicare-eligible individuals telephonically in the following ways Answer incoming phone calls from prospective members and identify the type of assistance and ... $500 Sign-on Bonus for External Candidates Optum 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… more
- Optum (San Juan, PR)
- …Complies with departmental Business Rules and Standard Operating Procedures Review and research insurance follow-up, and denied claims by navigating multiple systems ... simultaneously, such as payer portals, to accurately capture data/information for accurate processing Comprehensively understand payer and state specific policies for claim resolution Interprets explanation of benefits for appropriate follow up action… more
- Optum (San Juan, PR)
- …Manage and resolve healthcare appeals work type in accordance with regulatory guidelines, client policies, and internal standards. Ensure timely resolution to meet ... required deadlines Collect, review, and validate supporting documentation for appeals. Conduct thorough research to ensure accurate and fair case resolutions Share and submit reports on case status, resolution times, and appeal to supervisors and other… more
- Optum (San Juan, PR)
- …Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported ... Maintain standards for productivity and accuracy. Standards are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess, and document business operations and procedures to ensure data integrity, data… more
- Optum (San Juan, PR)
- …Develop and implement effective and strategic reporting and analytical solutions to enable data driven decisions Evaluate and present information in a manner that ... will facilitate clients understanding of the results and impacts Manage relationships with key business partners of across marketing/sales groups Demonstrated ability to lead large/complex reporting/analytics projects, effectively gather requirements, probe… more
- GP Mobile (Corozal, PR)
- …Builds proficiency related to serving and selling to our customers, while providing a world-class customer experience and building loyalty by: *Helping customers pick ... Benefits: Commission 401(k) Bonus based on performance Competitive salary Dental insurance Donation matching Employee discounts Flexible schedule Free uniforms Health insurance Opportunity for advancement Paid time off Training & development Vision insurance… more
- Diversified Maintenance (Bayamon, PR)
- …At Diversified Maintenance we believe that details matter, as do each of our employees and customers. Through our core values of loyalty, honesty, and integrity, we ... strive to create a culture of growth and opportunity for each individual we employ. Although we currently have operations in all 50 United States, Puerto Rico, Guam, and the Virgin Islands, Diversified Maintenance is projected to double in size in the next… more
- UHS (Cidra, PR)
- …Offers support to the Patient Accounts Department. Collects and follows-up on billed accounts and maintains aging updated. First Hospital Panamericano , es un centro ... de salud de primer nivel que ofrece tratamiento individualizado de salud mental y de adiccin para adultos en un entorno seguro y privado. Nuestros servicios para individuos incluyen programas especializados. FIRST HOSPITAL PANAMERICANO indudablemente promueve… more
- ABM Industries, Inc. (Guaynabo, PR)
- …Details: The Cleaner provides the cleaning and upkeep of an assigned area. Benefit Information: ABM offers a comprehensive benefits package. For information about ... ABM's benefits, visit ABM Employee Benefits | Front Line Team Members | (Programa de Beneficios de ABM) Basic Qualifications: *Must be 18 years of age or older *No experience required and on the job training provided *No high school diploma, GED or college… more
- Eurest (Juana Diaz, PR)
- …Summary: Prepares, presents and serves food as needed. Essential Duties and Responsibilities: Performs prep work such as washing, peeling, cutting and seeding fruits ... Se habla espanol. Para aplicar en espanol, haga clic trabajos.compassgroupcareers.com(opens in a new tab). We are hiring immediately for full time FOOD SERVICE WORKER positions. Location : Cooper Vision - 500 Road 584 Amuelas Industria, PR 00795. Note: online… more
- Stephens Landscaping Professionals LLC (San Juan, PR)
- …Are you looking for a hands-on, outdoor seasonal job with a great team? We're hiring hardworking crew members to join the Stephens Landscaping Professionals team ... located in Moultonborough, NH. Company Housing Available: Take advantage of convenient and affordable company-provided housing options, eliminating your daily commute and saving you valuable time and money. Earn Overtime with Great Pay: Enjoy competitive base… more
- Office Depot (Bayamon, PR)
- …As a Part Time Retail Store Associate at Office Depot, your part-time role is vital to our continued success in today's retail landscape. You'll engage with customers ... in a friendly and knowledgeable manner, creating a positive shopping experience while driving sales. As a Store Associate, you will actively connect with customers, addressing their needs by recommending the right products, services, and solutions to enhance… more
- VF Corporation (San Juan, PR)
- …*A formal education and subsequent undergraduate/graduate degrees are nice to have, but we are most interested in your total experience and professional achievements. ... Physical Requirements: *Standing required for entire work shift *Bend, lift, open, and move product up to 50 pounds (as needed) What we expect you already know: Ability to meet business goals by driving results through store teams, how to coach and motivate a… more
- Quality Consulting Group (Villalba, PR)
- …Ensures that suppliers deliver quality parts, materials, and services. Qualifies suppliers according to company standards and may administer a Certified Supplier ... Program in receiving inspection to ensure cost effectiveness. Monitors parts from acquisition through the manufacturing cycle and communicates and resolves supplier-related problems as they occur. Develops and prioritizes an auditing schedule to ensure that… more
- FITS LLC (Villalba, PR)
- …WHAT MAKES YOU A FIT: The Technical Part: Bachelor's degree in Engineering (preferred as Mechanical Engineer) & seven (7) years of relevant experience within the ... Medical Devices or Pharmaceutical industry. Bilingual (Spanish & English). Shift: 1st and according to business needs. Experience in: Experience in Manufacturing Mechanical Design (3D Modeling, Solid Works, PLC). Experience in Process Equipment Automation… more
- Burlington (Vega Baja, PR)
- …+ Receive freight and convey shipments from the shipping/receiving platform to backroom + Process, ticket, store, move, and display merchandise + Stock, organize and ... present new merchandise on the sales floor + Perform other tasks as assigned by manager from time-to-time Candidates must be able to work a flexible schedule; including nights, weekends, and holidays as required. **If you ** are excited to deliver great values… more
- Mentor Technical Group (Vega Baja, PR)
- …+ Measure and cut insulation for covering surfaces, using tape measures, handsaws, knives, and scissors. + Fit insulation around obstructions, and shape insulating ... Mentor 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… more
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