Clinical Documentation & Authorization Specialist

TPIS; San Juan (PR); Hybrid; USD 17,000 - 21,000; Full time

Benefits offered by this job

Equal opportunity employer

Affirmative Action to Recruit Women, &

Minorities, Protected Veterans, and P折

Job summary

TPIS is seeking a Clinical Documentation Clerk in San Juan, Puerto Rico. The role is a full-time position with a rotating schedule (Mon-Sat, 8:00am-6:00pm) and a hybrid work modality.

The incumbent will handle pre-service organizational determinations and manage clinical documentation for insured patients, coordinating with providers and internal teams to ensure accuracy and compliance. Qualifications include an Associate's degree or 60-64 college credits in a health-related area, plus one year

Qualifications

• Associate's degree or 60-64 university credits in health-related area; 6 months to 1 year of studies.
• Experience in healthcare documentation or clinical administration preferred.
• Knowledge of CPT and ICD-10 codes is helpful.

Responsibilities

• Receive, register, and forward requests for clinical documentation and organizational determination for insured management.
• Perform gatekeeper roles and distribute documentation to technicians as needed.
• Ensure compliance with HIPAA and internal regulations while handling sensitive information.

Skills

Medical terminology

HIPAA compliance

Documentation management

Education

Associate's degree or 60-64 college credits in health-related field

Tools

Provider portal

Job description

TPIS is seeking a Clinical Documentation Clerk in San Juan, Puerto Rico. The role is a full-time position with a rotating schedule (Mon-Sat, 8:00am-6:00pm) and a hybrid work modality.

The incumbent will handle pre-service organizational determinations and manage clinical documentation for insured patients, coordinating with providers and internal teams to ensure accuracy and compliance. Qualifications include an Associate's degree or 60-64 college credits in a health-related area, plus one year