7 Administration jobs in Dorado

**Become a part of our caring community and help us put health first**
The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Job Description
**Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
The Home Solutions UM Team is hiring for a UM Administration Coordinator that will provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in the Home Solutions organization and contributes to the Value-Based segment partnering with CenterWell and Onehome.
+ Manages NLP's for chart reviews for the nursing team
+ Builds and pends authorizations for review
+ Responsible for inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day
+ Documents calls and attaches clinical information received
+ Requests clinical information from providers/facilities
+ Creates and sends out written correspondence
+ Creates and distributes determination letters
+ Collaborates with multiple roles/departments/providers/team members
*** REMINDER: ATTACH A COPY OF YOUR RESUME***
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 1+ years' experience working in an administrative support capacity
+ Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately
+ Ability to quickly learn new systems (proficient to advanced)
**Preferred Qualifications**
+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
+ Proficient utilizing electronic medical record and documentation programs
+ Proficient and/or experience with medical terminology and/or ICD-10 codes
+ Prior member service or customer service telephone experience desired
+ Experience with SNF and/or Home Health
+ Prior experience with CGX, SRO and HCHB
+ Prior experience in a metric driven environment
+ Prior experience in the healthcare industry
**Additional Information**
+ **Remote position with possibility of flexible working hours Monday to Friday between 8am and 8pm EST (8 paid hours per business day)**
+ **Overtime available based upon business needs**
+ **Weekend and/or holiday work possible for this role**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Job Summary
The Data Entry Specialist is expected to work under general supervision and enters alphanumeric
data from a variety of sources, including paper-based, electronic and phone into Access’ computer
database.
Primary Functions:
 Checks data from completed forms and client documents for accuracy and completeness and
enters into online database.
Complete all assigned data entry requests/tasks within required timeframes while maintaining a
high level of quality.
ssure that all assigned documents are reviewed and that protocols are adhered to during data
entry.
eet job-specific standards and production rates for data entry requirements.
rovides direction or assistance to users of information regarding data requirements and status
of paperwork.
orts and files paperwork as needed.
erforms related responsibilities as required, such as general office duties like typing, operating
office machines, and sorting mail.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. Operations

The Data Entry Clerk will be supporting our Revenue Cycle Management Quest Diagnostics operations through Billing Data Entry, Billing Data Acquisition, and/or Third-Party Denials processes.  
**Primary Responsibilities: **
+ Transfer data from imaged accessions into mainframe applications.
+ Data entry of billing mnemonics and all required billing information that appears on imaged requisitions (such as US postal address, medical codes, insurance carrier details etc.).
+ Ensure that all needed "edits" are met and missing information is updated for billing.
+ Research and resolve billing errors with additional information received fromclient or patient.
+ Review bills denied by payer/insurance due to eligibility criteria. This can includepatients not being covered on the date of service, errors with the patient's information or with the insurance information provided in the claim/bill.
+ Research and update bills to resolve denials for re-billing.
+ Navigate multiple computer applications (MS word, MS Excel, Online applications, Mainframe applications, etc.).
+ May be required to conduct basic research in computer applications to perform data entry (address, billing codes, reject codes etc.)
+ Follow any additional procedural guidelines to enter information into the systems.
** ***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 
**Qualifications - External**
**Required Qualifications: **
+ 1+ years of data entry experience
+ Customer service experience
+ Professional proficiency in both English and Spanish
+ Proficiency with computer, Windows PC and web applications including ability to navigate and learn new and complex computer system application
+ Ability to work 40 hours/week during standard business operating hours Monday - Friday from 7:00am - 4:30pm  (It may be necessary, given the business need, to work occasional overtime on weekends and holidays
** **
**Preferred Qualifications: **
+ Medical billing experience
+ Proven knowledge of medical or health insurance terminology
+ Proven solid Microsoft Excel skills
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age,_ _location_ _and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized_ _groups_ _and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering_ _equitable_ _care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a_ _drug -_ _free workplace. Candidates_ _are required to_ _pass a drug test before beginning employment._

With Staff Management | SMX, you'll get a weekly paycheck, learn new skills, meet new people, and work with a great management team in a clean and safe environment.
Are you an experienced bilingual Data Entry Clerk looking for a new opportunity? We are hiring immediately for this full-time opportunity based in Guaynabo. Candidates should have an associate degree and be team-orientated. In this role, candidates should be organized and attentive with the ability to manage customer accounts and investigate and resolve claims. We highly value the reliability and availability of prospective candidates work schedules. Oportunidad de empleo!
.
Perks & Benefits: Casual Dress Code, Climate Controlled Environment, Paid Training, Weekly paychecks, Direct Deposit or Cash Card pay options, Paid Sick Leave, Paid Time Off, Sign on Bonus (Restrictions Apply), Referral Bonus (Restrictions Apply).
Bonus: Bonuses are per eligibility requirements.
Shifts: 1st Shift.
Employment Types: Full Time, Long Term.
Pay Rate: $11.00 - $2.75 / hour
Duties:
+ Able to process & enter large amount of data into our system accurately
+ Investigate & manage customer claims
+ Ability to perform repetitive tasks
+ Maintain strong records for all work steps
+ Meet individual and team performance goals
+ Strong written and verbal communication skills.
+ Excellent attention to detail
+ Comfortable working independently with minimal supervision.
.
Position Requirements:
+ Hablante bilingue requerido
+ 40 words typing per minute minimum
+ Proficient with Windows operating systems
+ Knowledge of Microsoft Office suite (Excel, Word & Outlook)
+ 1 year of Data Entry experience
+ Available to work a schedule between 8:00 AM - 5:00 PM (Monday to Friday)
+ Reliable transportation
Requirements: Background Check, Drug Test, Must be at least 18 years old.Able to Lift 20 pounds., required education: Associates Degree.
Recruiting Center: Staff Management | SMX, Metro Office Park Suite 106 Lot 3, Street 1, Guaynabo, PR 00968.
Work Location: PAM / Guaynabo, Metro Office Park Suite 106 Lot 3, Street 1, Guaynabo, PR 00968.
Job Types: Customer Service Rep, Administrative/Clerical.
Industry: Administrative/Clerical.
The hourly rate for this position is anticipated between 11.00 - 12.75 per hour. This range is a good-faith estimate, based on the shift you work and other considerations permitted by law. An employee''s pay history will not be a contributing factor where prohibited by local law. In addition to monetary compensation, we offer medical, dental, vision, life, and more. More details about benefits can be found at .
TBI Outsourcing Puerto Rico, Inc. is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, sexual orientation, age, gender identification, protected veteran status, or any other characteristic protected by law. We consider qualified applicants with arrest and conviction records in accordance with applicable law.
Accommodations are available on request for candidates taking part in the selection process. If you require disability-related accommodation during the recruitment process, please contact your Recruiter or Employee Relations at or 1- . TrueBlue, Inc. and its brands will consult with all applicants who request disability-related accommodation during the recruitment process to ensure that the accommodation provided takes into account the applicant's individual accessibility needs.
SM | SMX is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, sexual orientation, age, gender identification, protected veteran status, or any other characteristic protected by law.

**Secretary, Administrative Support**
Date: Jul 29, 2025
Location:
Guaynabo, PR, PR
Company: Black & Veatch Family of Companies
**Job Summary**
To provide general clerical support performing routine activities under direct supervision and within defined procedures. May have occasional contact with clients, suppliers, or company employees outside the immediate work area to exchange information. This position commonly assists project or administrative support assistants.
**Key Responsibilities**
+ Completes simple paper filing activities
+ Receives and distributes mail
+ Faxes documents
+ Copies documents
+ Prepares files for archiving
+ Distributes documents
+ Performs other general clerical duties as needed
+ Individual contributor with no subordinates
**Management Responsibilities**
Individual Contributor
**Preferred Qualifications**
+ High School Diploma or equivalent preferred
Preferred Skills:
+ Basic MS Word skills
+ Basic MS Outlook skills
+ Spelling and grammar skills
+ Concentration and cognitive skills
+ Attention to detail and reading comprehension
+ Ethics and values
+ Ability to prioritize
+ Integrity and trust
+ Time Reporting Systems
+ PeopleSoftandBlueprintBasic Users
**Minimum Qualifications**
No prior experience necessary. All applicants must be able to complete pre-employment onboarding requirements (if selected) which may include any/all of the following: criminal/civil background check, drug screen, and motor vehicle records search, in compliance with any applicable laws and regulations.
**Certifications**
**Work Environment/Physical Demands**
Normal office environment. Extended periods of monitor viewing. Stooping, crouching, talking, grasping, hearing, keyboard input, turning pages, typing and writing. Ability to exert up to 10 pounds of force occasionally or a negligible amount of force frequently or constantly to lift, carry, push, pull, or move objects. Work involves sitting for extended periods of time.
**Competencies**
Customer focus
**Salary Plan**
ADO: Administrative Services
**Job Grade**
002