- Optum (San Juan, PR)
- …Provide phone support to address the needs of members and providers using probing questions to thoroughly understand the type of assistance required Ask appropriate ... questions and listen actively to identify specific questions or issues while documenting required information in computer systems Research complex issues across multiple databases and work with support resources to resolve member and provider issues and/or… more
- 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)
- …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)
- …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)
- …Answer incoming phone calls from health care providers (ie physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and ... 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 care, pharmacy benefits, data and they… more
- Optum (San Juan, PR)
- …Authorizes the appropriate payment or refers claims to investigators for further review Conducts data entry and claims processing/issues Handling issues within ... turnaround standards Ability to handle most claim types / cases / issues that are submitted to the team you are supporting Ability handle escalations as needed Ability to work multiple functions and applications in a day as needed Communicate any changes in… more
- Optum (San Juan, PR)
- …Investigates, reviews, and provides clinical and / or coding expertise in review of post - service, pre - payment or post payment claims, which requires ... interpretation of state and federal mandates, billing practices / patterns, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with overt billing patterns and make… 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
- Simos (Guaynabo, PR)
- …Staff Management is hiring immediately Bilingual Customer Service Representatives to join our local offices. This is a full-time opportunity, and we are seeking ... candidates who are responsible, organized, attentive and team-oriented to manage customer accounts, and attend to customers visiting our office. We highly value the reliability and availability of candidates' prospective work schedules. Oportunidad de empleo!… more
- ABM Industries, Inc. (San Juan, 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
- Panda Restaurant Group (Toa Baja, PR)
- …Thrive in a safe and supportive work environment with team members who become friends. There's always something new to learn, do, and accomplish. If you don't have ... experience, we'll train you! You'll get opportunities to gain skills that help you rise in your career, no matter where you go. We're all about giving back, so you'll also get the chance to impact your community through our Panda Cares initiative. Let's work… more
- Sherwin-Williams (Guaynabo, PR)
- …This position is essential to the success of our retail stores. Store associates work closely with wholesale and retail customers to determine their needs, answer ... their questions about Sherwin-Williams products, and recommend the right solutions. Store associates are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay up-to-date with product features and… more
- Service Corporation International (Caguas, PR)
- …Accounting Function Oversight Collections of all accounts receivable Verifications and payments of all accounts payable invoices Controls of receipt and deposit of ... cash payments received Maintains petty cash account and disburses the same in accordance with company policies and procedures Reconciliations of all accounts Cash advance checks Same Day Check requests Bank deposits Verifies/audits cash disbursement reports… more
- Triple-S (Guaynabo, PR)
- …We encourage an environment of very high ethical standards, always excelling in service, collaboration among the company , agility to deliver timely, and embracing ... accountability for results. When you join Triple S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico… more
- Jabil, Inc. (Cayey, PR)
- …Ensures Production Supervisors and Supervisors In Training are effective in their roles. ESSENTIAL DUTIES AND RESPONSIBILITIES *Evaluates data and audit processes to ... support the success of the plant. *Sets expectations and guides the Production Supervisors to meet the expectations of continuous improvement while running a profitable and efficient production line. *Provides exceptional support to customers, team members,… more
- JobTracks (Manati, PR)
- …Funciones Esenciales: Promover activamente diferentes productos financieros, adaptando estrategias de venta para alcanzar y superar metas establecidas. Gestionar el ... proceso completo de prstamos, desde la solicitud hasta el desembolso, brindando orientacin y asistenci los clientes. Realizar tareas administrativas relacionadas con el proceso de prstamos, incluyendo el cobro, telemercadeo, posteo de pagos en la caja y cuadre… more
- Advance Services (Cayey, PR)
- …First shift Pay rate: $28.85 exempt ($60,000) LOCATION: Cayey, Puerto Rico QUALIFICATIONS Knowledge and Skills: Experience with MRP systems and Microsoft Windows. ... Knowledge of SAP. Effective oral and written communication skills. Able to work on the shop floor (day-to-day planning). Bilingual (English/Spanish). Detail-oriented with high accuracy. Strong analytical, problem-solving, organizational, and interpersonal… more
- Imperial Dade (Catano, PR)
- …You will: Safely operate a 53' truck or smaller Load and unload cargo via hand, manual pallet jack, and lift gate Properly track and document activity log Report any ... issues or incidents to dispatch Inspect the truck before and after trips Communicate with customers with a positive, outgoing attitude Qualifications You have: A valid commercial driver's license Must be able to pass a DOT Medical Exam A good driving record 1… more
- Driven Brands (Bayamon, PR)
- …Oil Change Team Member Are you a people person? Self-Motivated? Do you love working with cars? If so, here is good news for you! Take 5 Oil Change is offering an ... opportunity to showcase your skills and join our growing team of full-time crew members and lube techs! No experience required! We will train you how to be a lube technician who can change oil, replace wiper blades/air filters, fill air in tires, and perform… more
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