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Puerto Rico Licensed Clinical Analyst
A company is looking for a Clinical Investigation Analyst (RN) in San Juan, PR. Key Responsibilities Investigate and review claims for accuracy, interpreting state and federal mandates and billing practices Identify billing trends and recommend providers for review to enhance cost savings Manage daily case reviews with a focus on quality and provide clinical explanations to providers Required Qualifications Valid, active, and unrestricted RN, NP, or MD license 2+ years of experience in an inpatient/hospital environment Intermediate proficiency in Windows PC navigation and multiple systems Proficient in Microsoft Office applications Professional proficiency in both English and Spanish
A company is looking for a Clinical Investigation Analyst (RN) in San Juan, PR.
Key Responsibilities
Investigate and review claims for accuracy, interpreting state and federal mandates and billing practices
Identify billing trends and recommend providers for review to enhance cost savings
Manage daily case reviews with a focus on quality and provide clinical explanations to providers
Required Qualifications
Valid, active, and unrestricted RN, NP, or MD license
2+ years of experience in an inpatient/hospital environment
Intermediate proficiency in Windows PC navigation and multiple systems
Proficient in Microsoft Office applications
Professional proficiency in both English and Spanish
