Trabajos
>
San Juan

    Referral Services Assistant - San Juan, Puerto Rico - Elevance Health

    Elevance Health
    Elevance Health San Juan, Puerto Rico

    Encontrado en: Talent US C2 - hace 5 días

    Default job background
    De jornada completa
    Descripción

    Job Description

    :

    Referral Services Assistant

    Location: Remote, within 50 miles of an Elevance pulse point

    Hours: Monday - Friday from 9:00 am - 6:00 pm C ST

    The Referral Services Assistant is responsible for providing support to clinical team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional counseling, etc.

    How you will make an impact:

  • Initiates and manages clinical referrals for participants registered in a disease management or health program.
  • Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
  • Reviews referrals for completeness and follows up for additional information.
  • Assigns referrals to staff.
  • Verifies insurance coverage and obtains authorizations from insurance plans.
  • Maintains database of insurance companies for verification of coverage, accepted plans, and requirements for patient eligibility.
  • Contacts physician offices to obtain demographic information or related data.
  • Enters referrals and documents communications in system.

    • Minimum Requirements:

  • Requires a HS diploma and a minimum of 1 year of experience in a healthcare environment; or any combination of education and experience which would provide an equivalent background.

    • Preferred Skills, Capabilities, and Experiences:

  • Travels to worksite and other locations as necessary.
  • Medical experience and Medical terminology preferred
  • Experience in a Utilization Management role.
  • Strong navigation skills
  • Independent thinker
  • Ability to work under pressure
  • Be efficient in customer service and able to multitask while on phones.

    • *** For candidates working in person or remotely in the below locations , the salary* range for this specific position is $16.85 to $30.32

    Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

    Job Level:

    Non-Management Non-Exempt

    Workshift:

    1st Shift (United States of America)

    Job Family:

    CUS > Care Support

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

  • Firma de Reclutamiento en PR

    Customer Service Assistant

    Encontrado en: Talent PR C2 - hace 4 días

    Firma de Reclutamiento en PR San Juan, Puerto Rico

    We are seeking a Technical Customer Support. This role is perfect for someone who thrives in a fast-paced environment, enjoys solving problems, and is fluent in both English and Spanish. The ideal candidate will be responsible for providing exceptional technical support and servi ...

  • The Home Depot

    Assistant Store Manager in Training

    Encontrado en: MyJobHelper US C2 - hace 3 días

    The Home Depot San Juan, Puerto Rico

    Position Purpose: · Assistant Store Managers in Training are learning the various responsibilities and functions of the following roles: Assistant Store Manager, Operations Assistant Store Manager, Night Operations Assistant Store Manager, and Specialty Assistant Store Manager. ...

  • Sunnova Energy

    Manager, PV Codes and Standards Engineer

    Encontrado en: Lensa US 4 C2 - hace 5 días

    Sunnova Energy San Juan, Puerto Rico De jornada completa

    Brief Description of Sunnova Sunnova (NYSE: NOVA) is an industry-leading adaptive energy services company focused on making clean energy more accessible, reliable, and affordable for homeowners and businesses.At Sunnova, we embrace diverse perspectives, vibrant creativity and for ...

  • Walgreens

    Community Management Intern

    Encontrado en: Talent US C2 - hace 1 día

    Walgreens San Juan, Puerto Rico De jornada completa

    Job Description · Job Objectives · Learn to provide an extraordinary customer experience in retail store setting. · Completes product returns, order voids, customer refunds, cash drops to the safe, and provides change as requested to cash registers. · Models and delivers a dist ...

  • Walgreens

    Customer Service Associate

    Encontrado en: Talent US C2 - hace 2 días

    Walgreens San Juan, Puerto Rico A tiempo parcial

    Job Description · Models and delivers a distinctive and delightful customer experience. · Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. · Customer Experience Engages customers and patients by greeti ...

  • Aloft Hotels

    Staff Accountant

    Encontrado en: Talent US C2 - hace 4 días

    Aloft Hotels San Juan, Puerto Rico De jornada completa

    POSITION SUMMARY · Check figures, postings, and documents for accuracy. Organize, secure, and maintain all files, records, cash and cash equivalents in accordance with policies and procedures. Record, store, access, and/or analyze computerized financial information. Classify, cod ...

  • First BanCorp

    associate portfolio manager

    Encontrado en: Talent US C2 - hace 5 días

    First BanCorp San Juan, Puerto Rico

    ASSOCIATE PORTFOLIO MANAGER · Job summary: · Associate portfolio manager works for different organizations that deal with finances and investments. The associate portfolio manager informs the clients as to what type of investments should they make and what investment plans they ...

  • Dollar General

    STORE NON PERISHABLE MANAGER

    Encontrado en: Talent US C2 - hace 5 días

    Dollar General San Juan, Puerto Rico

    Overview · Dollar General Corporation has been delivering value to shoppers for more than 80 years. Dollar General helps shoppers Save time. Save money. Every day. by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleani ...

  • Macy's

    Manager, Sales and Customer Service

    Encontrado en: Talent US C2 - hace 5 días

    Macy's San Juan, Puerto Rico De jornada completa

    Job Summary · As a Sales and Customer Experience Manager, you will make sure the very best of Macy's is always on display. Your ability to see the store through the customers' eyes will help you lead initiatives and related efforts to increase shopper loyalty, while delivering on ...

  • Macy's

    Retail Sales Associate, Puerto Rico

    Encontrado en: Talent US C2 - hace 5 días

    Macy's San Juan, Puerto Rico A tiempo parcial

    Job Summary · As a Retail Sales Associate, also known as a Generalist colleague, you are an integral part of bringing the Macy's magic, and the Macy's shopper is your highest priority. Your close attention to customer preferences and the expertise you develop in Macy's merchandis ...

  • Dollar General

    LEAD SALES ASSOCIATE-PT in ANOKA, MN S30698

    Encontrado en: Talent US C2 - hace 5 días

    Dollar General San Juan, Puerto Rico

    Overview · Dollar General Corporation has been delivering value to shoppers for more than 80 years. Dollar General helps shoppers Save time. Save money. Every day. by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleani ...

  • Petco

    Junior Groomer

    Encontrado en: Talent US C2 - hace 5 días

    Petco Caguas, Puerto Rico A tiempo parcial

    JOB DESCRIPTION Create a healthier, brighter future for pets, pet parents and people · If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. · Our core values capture th ...

  • Aloft Hotels

    Attendant-Gourmet Coffee

    Encontrado en: Talent US C2 - hace 4 días

    Aloft Hotels San Juan, Puerto Rico De jornada completa

    POSITION SUMMARY · Complete opening and closing duties including setting up necessary supplies and tools, cleaning all equipment and areas, locking doors, etc. Set up, stock, and maintain work areas. Input orders into cash register system and collect payment from customer. Take o ...

  • Dollar General

    ASST STORE MGR in MOBERLY, MO S30336

    Encontrado en: Talent US C2 - hace 5 días

    Dollar General San Juan, Puerto Rico

    Overview · Dollar General Corporation has been delivering value to shoppers for more than 80 years. Dollar General helps shoppers Save time. Save money. Every day. by offering products that are frequently used and replenished, such as food, snacks, health and beauty aids, cleani ...

  • Office Depot

    Part-Time Copy and Print Retail Service Advisor

    Encontrado en: Talent US C2 - hace 5 días

    Office Depot San Juan, Puerto Rico A tiempo parcial

    Primary Responsibilities · Provides exceptional customer service by educating customers about Office Depot products and services. Effectively utilizes communication tools to request assistance anywhere on the sales floor, and to coordinate the appropriate service, and customer en ...

  • ABM Industries

    Supervisor Triple S

    Encontrado en: Talent US C2 - hace 5 días

    ABM Industries San Juan, Puerto Rico

    Overview · Position Summary Details · Troubleshoot, repair, maintain, and install HVAC and related equipment as assigned. Assume day to day coordination of specific agreements or projects as assigned to ensure contractual commitments are met in a timely, cost effective manner · ...

  • CDK Global

    Senior .NET Software Engineer

    Encontrado en: Talent US C2 - hace 2 días

    CDK Global San Juan, Puerto Rico

    Position Summar · yWe are looking for a highly experienced .net Software Engineer to join our Drive Platform team which focuses on developing solutions for Automotive and Truck dealers using the CDK Dealer Management Systems (DMS). · Candidate must be able to thrive in an Agile e ...

  • Macy's

    Selling and Support Captain, Puerto Rico

    Encontrado en: Talent US C2 - hace 5 días

    Macy's San Juan, Puerto Rico De jornada completa

    Job Summary · As a Selling and Support Captain, you are an advocate for the customer and a role model for your colleagues. As an elevated hourly colleague, you are an expert in customer satisfaction , merchandising, and building brand loyalty. You will drive results through promo ...

  • LIDS

    Assistant Store Manager PT

    Encontrado en: Talent US C2 - hace 5 días

    LIDS San Juan, Puerto Rico

    General DescriptionPrinciple Duties and Responsibilities Generate Sales · Produce sales gains, by providing customer service. · To meet or exceed Company Objectives in all individual statistics. · Learn to provide consistent, documented appraisal of an associate's sales performan ...

  • LIDS

    Part-Time Sales Help

    Encontrado en: Talent US C2 - hace 5 días

    LIDS San Juan, Puerto Rico A tiempo parcial

    General Description Generate Sales · Produce sales gains, by providing customer service. · Meet or exceed Company Objectives in all individual statistics. · Participate in store maintenance per the current visual guidelines including: proper merchandising, signage and store clean ...