Location: San Juan, PR
Pay Rate: $13.40 / Hourly

Summary:
Serve as main contact with medical insurance plans to get pre-authorizations, letters of accord, etc. for Medical Devices Divisions’ implants/product sales.
 
Responsibilities:

• Make/receives telephone calls with medical plans and Abbott Sales Representatives
• Uses computerized systems (preferably, Inmediata (SecureTrak, SecureClaims, SecureEMR, etc), SAP, Salesforce, Excel, Outllok) to gather information and confirm sales prompted by incoming calls.
• Answer inquiries, resolve problems, and promote products/services.
• Get all the documentation required for medical insurance claims/submissions.
• Process implant authorizations with medical insurance agencies and hospitals.
• Complete the forms 1500 and related documentation to bill the medical insurance agencies, directly.
• Make sure that forms completed have the appropriate HCPCS, procedures, and product codes per billing standards.
• Prepare quotations and develop contract negotiations with medical insurance agencies as participant provider.
• Visit customers for claim status and reconciliations.
• Ensure compliance with all procedures and all applicable regulatory agency requirements.
• Support Credit & Collection’s request for information.
• Help busines unit to organize and manage congresses, courses, and events.
• Provide documentation for both compliance and budget approvals for such activities.

Requirements/Qualifications:

• Associate degree completed, preferred in Medical Billing and/or 2+ years of related experience.
• Fully bilingual in English and Spanish.
• Strong interpersonal and communication skills.
• Strong logical, analytical skills and independent judgment
• Effective problem solving.
• Unexpired Puerto Rico driver’s license. The position requires to drive own motor vehicle.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 13.40/hr.