RCM Data Specialist

Location: Guaynabo, Puerto Rico.

The RCM Data Specialist will be responsible for working on the Avizzor portal, where they will audit and assign the billing of managed plans to the corresponding "Queques", as well as transmit cases in "Accepted" status.

Responsibilities:

• Check that each invoice has the supporting documents required by Avizzor. If any document is missing, locate it in CPR+ and attach it to the invoice.
• Validate that the total charges for each invoice are the same in CPR+ and Avizzor. Notify your Supervisor in case of discrepancy.
• Check that the service date is the same as the "Delivery Ticket" and that the prescription date matches the indexed one.
• Verify that the authorization number (PA) reported in Avizzor matches the attached authorization.
• Send all invoices that have "Accepted" status in Avizzor.
• Provide support and assistance in other tasks as necessary.

Required:

• High School Diploma.
• Certification as a medical plan biller or equivalent to 2 years of experience in billing.

***EEOC F/M/D/V***