Hybrid Healthcare Admin & Pre-Auth Specialist

Temporary Professional Integrated Services; San Juan (PR); Hybride; USD 26 000 - 34 000; Plein temps

Résumé du poste

Temporary Professional Integrated Services is seeking a clinical administrative support role in San Juan, PR. Responsibilities include handling requests for pre-service organizational determinations and related clinical documentation, coordinating with providers, and ensuring HIPAA-compliant processing of information.

The position requires an Associate's Degree or 60–64 university credits, plus at least 1 year of related experience.

Qualifications

• Knowledge of Medical Terminology.
• CPT and ICD-10 codes preferred.
• Ability to interpret clinical documentation and organize requests.

Responsabilités

• Receive and forward requests for organizational determination and clinical documentation.
• Perform gatekeeper roles to classify documentation for technicians.
• Verify documentation meets minimum requirements and supports pre-authorization.

Connaissances

Medical terminology

CPT codes

ICD-10 codes

Formation

Associate degree

60–64 university credits

Description du poste

Temporary Professional Integrated Services is seeking a clinical administrative support role in San Juan, PR. Responsibilities include handling requests for pre-service organizational determinations and related clinical documentation, coordinating with providers, and ensuring HIPAA-compliant processing of information.

The position requires an Associate's Degree or 60–64 university credits, plus at least 1 year of related experience.