Job Title: Registered Nurse

Location: Aguadilla, Puerto Rico

Type: Fulltime

Qualifications

Basic
High School Diploma or GED Equivalent
At least 2 years of experience relating to the job description

Preferred
Registered Nurse in Puerto Rico
Fully Bilingual- English and Spanish- (All work performed will be in English)
Intermediate to advanced knowledge in using MS Office and ability to learn and use various computer software.
Past experience in an office/clerical setting in the medical field
Experience in any claim adjudication platform
Certification in medical coding (CPT, ICD-10
Exposure to Healthcare Claims products (Indemnity, PPO, POS/DA, EPO, HMO)
Prefer knowledge of Workman's Compensation, Medicare, COB, no fault.
Prior claims experience in medical coding, case management, cost containment review, medical claim management will be preferred
Exposure to anti-fraud initiatives in clinical area
Awareness of clinical practice guidelines used by health plans to develop medical policy
Possess eye for details
Knowledge of Microsoft Office Products.
Team Player, Analytical, Written and Verbal Communication Skills, Interpersonal Skills and Positive Attitude

Job Type: Permanent

Expected hours: 40 per week

Benefits:
Dental insurance
Health insurance
Paid time off
Vision insurance

Medical Specialty:
Medical-Surgical
Telemetry

Ability to Commute:
Aguadilla, PR (Required)

Ability to Relocate:
Aguadilla, PR: Relocate before starting work (Required)

Work Location: In person,