Medical Claims Examiner Jobs in San Juan, Puerto Rico

Currently, there are no Medical Claims Examiner jobs available in San Juan, Puerto Rico which match this search. You may wish to explore similar job titles on the Healthcare jobs in Puerto Rico page or view related jobs below.
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Molina Healthcare Inc San Juan, PR
Job Summary Responsible for the day-to-day management of the Medical Affairs Department. Work collaboratively with the VP Healthcare Services to develop and implement clinical policies and provide clinical oversight. Direct the Medical Affairs team to work with the HealthCare Services team to develop and implement effective and efficient standards, protocols, decision support systems, reports and...
Humana Inc. San Juan, PR
PNO - Claims Cost Management Consultant (Fully Bilingual, Project management/Improvement exp. a MUST) San Juan Requisition ID 131661 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the streng...
Judge Healthcare is actively seeking a Medical Coding Analyst for one of the largest healthcare insurance providers in sunny San Juan, Puerto Rico This job will have the following responsibilities: Conducting audits to improve the increased members annual funding in order to drive better patient care Comply with coding and corporate compliance standards Assuring accuracy of codes from the list...
Company Confidential San Juan, PR
Company is a service provider to medical device manufactures and seeks an experienced field service engineer located in Puerto Rico. Applicants must have exceptional knowledge of field based service activities, understand planned and unplanned service calls, be able to adjust to a dynamic environment, be committed to customer service, and have at least 2 years experience servicing equipment in the...
Description Position Summary: Clinical duties consistent with scope of practice, performing x-rays and following all relevant policies and procedures. Significant portion of work will be front desk, with duties to include patient registration, insurance verification, collecting copays. Qualifications Valid Certificates for Medical Assistant and Limited License to perform x-rays for torso-skele...
Requisition # - 60396BR About the Business: Water - it is a natural resource and necessity for each person on the planet. Today, it is increasingly challenging to provide and sustain clean water resources. As part of CH2M HILL‘s Water Group you will be helping to provide solutions that enable people around the world to have access to safe, life-sustaining water. It is a big challenge, but the gl...
Molina Healthcare Inc San Juan, PR
Job SummaryLead financial analysis of the health plan’s performance. Lead and support financial and operational analysis for Medical Management and Provider Contracting. Review, evaluate and improve company business logic and data sources. Ensure timely creation of management reports. Ensure data integrity. Assist in developing, implementing and monitoring the health plan’s strategic plan. Respons...
Look to Spartan If you’re ready for a rewarding job in manufacturing and logistics, you’ll find it at Spartan. We’ll match you with the perfect assignment with great potential for a long term position. Contact Spartan today. We’re looking for people just like you. Spartan Staffing is currently hiring several experienced Metal Framers in Guaynabo, Puerto Rico. Outstanding opportunity – long term ...
JOB PURPOSE: Involved in hands-on trouble shooting, repair and/or cleaning of Consumer Products. Able to repair, refurbish, or clean Consumer cell phones, tablets, and other products normally associated with consumer electronics. Responsible for product-associated paperwork, documentation, and the moving, handling, wrapping or packing as necessary to complete routine and non-routine tasks associat...
Location: San Juan, Puerto Rico Title: Business Intelligence Specialist At The Cervantes Group, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been the number one reason for our consistently high growth and excellence. By hiring the best people and facilitating their career path growth both professionally and person...
JAVA PROGRAMMER StateTrust Group is a financial conglomerate including its full service broker/dealer and financial advisor specializing in Wealth Management and Financial Planning, its International Life Insurance Company, offering Life, Retirement & Education policies and its International Bank; using state of the art technology multi-currency and multi-language environments and unique personal...
Responsible for all aspects of Pharmacy Operations within their store including inventory, personnel and security with emphasis on customer relations. The individual responsibilities are shared equally by all Pharmacists within the store. ESSENTIAL FUNCTION: Customer Service • Service and satisfy the customer/s as health care needs in and out of Pharmacy area • Openly communicate with customer...
CLINICAL CODING ANALYST The Clinical Quality Analyst (CQA) demonstrates experience by correlating coding accuracy with correct HCC assignment. The CQA is responsible for conducting the audit to improve and increase members annual funding in order to drive better patient care and assist providers through education and training to improve RAF scores. The CQA will comply with Coding and Corporate Co...
MUST APPLY USING THIS LINK: http://healthcareindustry.theresumator.com/apply/6bHbgZ/Remote-Call-Center-Representative-I.html?source=MONS RecordFlow has an immediate need for a seasonal Remote(work from home) Call Center Representatives to build and maintain relationships with our providers in order to gather Medical Records from their office. Candidate should have the drive to learn and excel in...
Supplier Quality Engineer Basic Qualifications: Must be thoroughly knowledgeable on cGMP's, ISO 13485, and familiar with other regulatory requirements applicable to a medical device manufacturing operation. Must be able to utilize Six Sigma tools to resolve product/process issues. Must be able to use problem solving techniques or root-cause analysis tools to solve product/process issues. Must...
Humana Inc. San Juan, PR
Puerto Rico Regional Medical Director Requisition ID 132033 Business Overview Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and indiv...
Barry-Wehmiller Design Group provides engineering and technology services to the world’s leading companies through the efforts of over 800 engineering and technical specialists. We are focused on providing our professionals with opportunities for leadership and career advancement within a thriving work environment and a unique “people-centric” culture. We offer a robust, centralized learning and ...
Barry-Wehmiller Design Group provides engineering and technology services to the world’s leading companies through the efforts of over 800 engineering and technical specialists. We are focused on providing our professionals with opportunities for leadership and career advancement within a thriving work environment and a unique “people-centric” culture. We offer a robust, centralized learning and ...
Outside Sales Representatives-San Juan Job Description Oliver Exterminating Services Corp.,is currently seeking experienced outside representatives to call on upscale homeowners, commercial/industrial property managers, government officials and local businesses who are in need of Pest, Termite and Bird Control services. This position involves extensive cold calling, tireless prospecting and cons...
How's your Quality of Life? · Are you looking for a job or a real career? · Do you worry about getting laid off? · Are benefits, 401k & paid time off programs important to you? · Would you like to be rewarded for working hard? Maybe it's time to think about joining the Rent-A-Center team because we're in the Quality of Life business! We help improve the Quality of Life of our million custome...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in San Juan
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool
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