Healthcare Utilization Specialist
hace 1 semana
At Third Way Health, Inc., we're dedicated to enhancing the healthcare experience for patients and providers across the United States.
About the PositionWe're seeking a highly skilled Healthcare Utilization Specialist to join our team in the Medellin area. As a valued member of our team, you'll play a crucial role in streamlining healthcare processes and ensuring compliance with regulations.
Key Responsibilities:- Conduct thorough prior authorization and retrospective reviews for elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment.
- Maintain open communication with stakeholders to ensure seamless process execution.
- Stay updated on state and federal regulations, as well as accreditation standards, to guarantee compliance.
- Develop and implement efficient operational processes to uphold quality standards within the team.
Required Skills and Qualifications:
- University or associate degree preferred.
- At least 8 months of experience in health insurance.
- Fluency in English and Spanish (C1 level or above).
- Expertise in managing call center operations and adapting to fast-paced environments.
- Patient and empathetic attitude, with strong time management and organizational skills.
The estimated annual salary for this position is $60,000 - $80,000, depending on qualifications and experience. If you're passionate about improving the healthcare experience, we encourage you to apply.
-
Healthcare Utilization Specialist
hace 7 días
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way Health, Inc.Third Way Health, Inc. is a healthcare technology company dedicated to improving the patient experience while reducing administrative burden on medical practices and organizations in the United States. We provide a leading technology platform and world-class services to enhance the experience of patients and providers across the...
-
Healthcare Utilization Specialist
hace 2 días
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoCompany OverviewThird Way Health, Inc. is a healthcare technology company that helps medical practices and healthcare organizations improve patient experience while reducing administrative burden. Our mission is to support physicians and enhance the healthcare experience for patients from all backgrounds.About the PositionWe are seeking full-time Utilization...
-
Healthcare Utilization Specialist
hace 2 semanas
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way HealthThird Way Health, Inc. is a leading provider of technology and services to improve the patient experience and reduce administrative burden on practice owners and management.Position OverviewWe are seeking a full-time Utilization Management agent to join our team in the Medellin area. As a valued member of our team, you will play a...
-
Healthcare Utilization Manager
hace 6 días
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way Health, Inc. Third Way Health, Inc. helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a...
-
Healthcare Support Specialist
hace 5 días
Medellín, Antioquia, Colombia The Alvi Group A tiempo completoThe Alvi Group is currently seeking a skilled Healthcare Support Specialist to join our team. This full-time role offers a competitive salary of $45,000 - $55,000 per year.Job DescriptionAs a Healthcare Support Specialist with The Alvi Group, you will play a vital role in ensuring the smooth operation of our medical facilities. Your primary responsibilities...
-
Healthcare Denial Resolution Specialist
hace 6 días
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way Health, Inc.We are a leading healthcare technology platform provider dedicated to enhancing the patient experience while reducing administrative burdens on medical practices and organizations across the United States.Role OverviewWe are seeking an experienced Healthcare Denial Resolution Specialist to join our team in the Medellin area. As a...
-
Healthcare Experience Enhancement Specialist
hace 6 días
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way Health, Inc.We are a leading healthcare technology platform provider dedicated to enhancing the patient experience in the US. Our mission is to support physicians and improve the overall healthcare experience for patients from all backgrounds.Job Summary:We are seeking a full-time Healthcare Experience Enhancement Specialist for our Patient...
-
Healthcare Support Specialist
hace 4 semanas
Medellín, Antioquia, Colombia Third Way Health A tiempo completoAt Third Way Health, we're dedicated to improving the patient experience while reducing the administrative burden on practice owners and management. As a key member of our team, you'll play a vital role in enhancing the experience of our patients by providing them with a leading technology platform and world-class services.About the Position:We're seeking a...
-
Medical Authorization Specialist
hace 4 semanas
Medellín, Antioquia, Colombia RVStaffing A tiempo completoMedical Authorization SpecialistWe are seeking an experienced Medical Authorization Specialist to join our team. The ideal candidate will have a strong understanding of medical policies and procedures, as well as excellent communication and organizational skills.Key Responsibilities:Review patient documentation to ensure medical policy guidelines are...
-
HC Quality Support Center Specialist
hace 2 semanas
Medellín, Antioquia, Colombia UPS A tiempo completoJob Title: HC Quality Support Center SpecialistJob Description:The HC Quality Support Center Specialist will oversee the performance and activities within the HC Quality Support Center. This role communicates the quality policy and objectives to ensure alignment with healthcare guidelines and ISO 9001/ISO 13485 requirements. The specialist develops standard...
-
Medical Authorization Specialist
hace 7 días
Medellín, Antioquia, Colombia Rvstaffing A tiempo completoAt Rvstaffing, we are seeking an experienced Medical Authorization Specialist to join our medical team. The ideal candidate will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribing and triaging patient calls to physicians, and...
-
Marketing and Administrative Support Specialist
hace 4 semanas
Medellín, Antioquia, Colombia Premier Medical Associates (PMA) A tiempo completoMarketing and Administrative Support SpecialistWe are seeking a highly skilled Marketing and Administrative Support Specialist to join our team at Premier Medical Associates (PMA). As a key member of our marketing team, you will play a vital role in supporting and leading various marketing initiatives across multiple industries.Key Responsibilities:Develop...
-
Clinical Collections Specialist
hace 1 semana
Medellín, Antioquia, Colombia Rvstaffing A tiempo completoWe are seeking a highly skilled Clinical Collections Specialist to join our team at Rvstaffing. This role is perfect for individuals passionate about healthcare, finance, and communication. As a key member of our Medical Billing team, you will play a crucial role in educating clients about their insurance options and making a positive impact on their...
-
Cloud Architect Azure Specialist
hace 2 días
Medellín, Antioquia, Colombia Lone Wolf Technologies Inc. A tiempo completoJob Title: Cloud Architect Azure SpecialistWe are seeking an experienced Cloud Architect to join our team at Lone Wolf Technologies Inc. in this exciting role.About the Role:This is a fantastic opportunity for a skilled Azure professional to design, implement, and manage cloud environments and assets that meet the needs of our fast-paced product development...
-
Medical Education Specialist
hace 3 semanas
Medellín, Antioquia, Colombia Blackstone Medical Services A tiempo completoAt Blackstone Medical Services, a leader in the health sector with over 10 years of experience in the U.S. market, we're seeking a skilled Medical Education Specialist to join our team in Sabaneta. This is an exciting opportunity to develop and deliver training programs that enhance our employees' skills and knowledge.The ideal candidate will possess a...
-
Denial Resolution Specialist
hace 2 semanas
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Us: At Third Way Health, we empower medical practices and healthcare organizations to deliver exceptional patient experiences while minimizing administrative burdens. Our innovative technology platform and world-class services enable practices to focus on what matters most: patient care.Position Overview: We are seeking a skilled Denial Coordinator to...
-
Medical Authorization Specialist
hace 1 semana
Medellín, Antioquia, Colombia RVStaffing A tiempo completoAbout the RoleRVStaffing, a leading provider of healthcare staffing solutions, is seeking an experienced Medical Authorization Specialist to join our team. In this role, you will be responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers,...
-
Medical Collector Specialist
hace 1 semana
Medellín, Antioquia, Colombia RVStaffing A tiempo completoAt RVStaffing, we are committed to providing exceptional medical services to our clients. Our team of professionals is dedicated to delivering high-quality care and compassion to individuals who are being treated.We are currently seeking a Medical Collector Specialist to join our team. If you have a passion for healthcare, communication, prioritization,...
-
Patient Experience Specialist
hace 2 semanas
Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoAbout Third Way HealthThird Way Health, Inc. aims to revolutionize the patient experience in the US healthcare system by providing cutting-edge technology and exceptional services to medical practices and healthcare organizations.Job Title: Patient Concierge RepresentativeWe're seeking a full-time Patient Concierge Representative to join our Patient...
-
Medical Claims Specialist for Solvo Global
hace 1 semana
Medellín, Antioquia, Colombia Solvo Global A tiempo completoAbout Solvo GlobalSolvo Global is a leading company in the healthcare industry, committed to providing exceptional services to its clients.Salary: $40,000 - $60,000 per yearThe salary range for this position reflects the company's commitment to compensating its employees fairly and competitively based on their skills and experience.Job DescriptionWe are...