Especialista De Reclamaciones Regular Exempt GENERAL DESCRIPTION Evaluates the handling, processing, and/or payment of medical and/or life insurance claims to seek efficiency in the claim adjudication processes of each of the analys...
system the beneficiary demographic information to process the MCS Life Insurance payments. Identify the Independent... of database administration. Intermediate knowledge of Excel. Knowledge of standard Healthcare Industry procedure codes...
in customer service, account management, or performing similar functions in the Healthcare Insurance Industry is preferred..., or performing similar functions in the Healthcare Insurance Industry is preferred. "Proven experience may be replaced...
Técnico(a) De Servicios De Farmacia Regular Non-Exempt GENERAL DESCRIPTION: Administrative work that involves receiving service/follow-up requests by phone or fax, monitoring, evaluating, and channeling service/follow-up requests re...
, or healthcare reimbursement operations preferred. Knowledge of CMS guidelines, coding methodologies, and medical necessity review...
of experience in a position performing analytical tasks, managing healthcare-related tariffs, network management, contract... negotiation, and healthcare economics. Experience in analyzing contracting models is required. "Proven experience may...
Especialista en Operaciones de Servicio Regular Exempt GENERAL DESCRIPTION: Responsible for coordinating the activities of Club Te Paga at service centers and events, including managing resources, maintaining participant records, co...
: Bachelor's Degree in Business Administration or related areas. At least two (2) years of experience in the healthcare industry...
*Temporary contract through March 31, ****.* *GENERAL DESCRIPTION* Manages the orientation, presentation, and medical plan sales process, complying with established policies and procedures in conjunction with the laws and regulations ap...
agreements with providers, preferably in the Healthcare Industry or related areas. "Proven experience may be replaced...