Primary Responsibilities:
Responds to incoming provider calls and complete outbound calls to providers
Resolves customer service inquiries which could include entering notification, provide status of an existing notification and determining if notification is required
Manage and take ownership of administrative tasks as assigned
Coordinate with care coordination timely to obtain case clarification
Completes notification wizard along with ICD 10 and HCPC/CPT coding with strong attention to detail
Notifying providers of case determination
Constantly meets established productivity, schedule adherence, productivity and quality standards while maintaining good attendance and accountability
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Ability to remain focused and productive each day though tasks may be repetitive
Organizing work and develop strategies to adapt to constantly changing workload
Utilize job aids and critical thinking skills
Punctual/Consistent Attendance is essential
Required Qualifications:
1+ years of experience in a production environment where you have been measured by goals and metrics
Experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)
Intermediate Windows PC navigation proficiency or higher and ability to navigate in multiple systems
Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)
Ability to work 40 hours / week during standard business operating hours Monday - Friday from 7am - 8pm AST (It may be necessary, given the business need, to work on Saturdays, occasional overtime, and holidays) Preferred Qualifications:
Experience working within the healthcare industry
Professional experience in a clinical, clerical, or administrative support related role
Experience working with ICD-9 / 10 and CPT codes
Working knowledge of medical terminology
TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Females / Disabled / Veterans). We comply with all Federal, State and Local laws regarding nondiscrimination.
Job Type: Full-time
Pay: From $14.00 per hour
Expected hours: 40 per week
Schedule:
8 hour shift
Monday to Friday
Ability to Commute:
San Juan, PR (Required)
Work Location: In person
