Coding Analyst
Credit analyst job in Puerto Rico
A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.
Signing Bonus: $1,000.00
Coding Analyst
Location: Candidates are required to reside in Puerto Rico. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
*Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: This position will work a first shift monday thru friday but must be flexible to the US States time zones that the unit will be supporting.
The Coding Analyst is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance.
How you will make an impact
Primary duties may include, but are not limited to:
Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation.
Queries physicians when code assignments are not straightforward or documentation is unclear.
Trains and educates others on coding, documentation, claim payment guidelines, and related issues.
Reviews CPT and ICD-9 codes annually for accuracy and implements changes.
Assists physicians and providers with questions and problems related to coding, documentation and billing.
Minimum Requirements:
Requires a H.S. diploma or equivalent and minimum of 1 year of experience; or any combination of education and experience, which would provide an equivalent background.
Certified Medical Code (CPC or CCS-P) required.
Preferred Skills, Capabilities, and Experiences:
Knowledge of medical terminology and anatomy strongly preferred.
Bilingual (English/Spanish) is strongly preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed/Certified - Other
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Auto-ApplyCollection Analyst
Credit analyst job in San Juan, PR
Role Purpose
The Collection Analyst is responsible for the appropriate handling collections of the outstanding balance. The collector must reconcile accounts and assist in creating a repayment plan between the debtor and collector upon agreement, based on Company's policy.
Key Responsibilities
Register in Meridian the account current reports received from general agencies.
Oversee critical and unapplied cases monthly.
Reconcile the general agencies accounts monthly.
Generate reports of accounts receivable (weekly, monthly, and quarterly).
Collect account current balances and non-reported policies from general agencies.
Advise general agencies of necessary actions and strategies for overdue balances.
Apply collections and payments on a weekly basis.
Request cancellation notice if applicable.
Maintain control of policies related to government and condominium business.
Review and analyze the collection results to accomplish the Company's goals.
Support and gather information for the audit process.
Other projects and tasks as assigned.
Requirements
Bachelor's Degree in Business Administration in Accounting.
Solid understanding of basic accounting principles.
Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
Proficient in Microsoft Office (Word, Excel, and Power Point) and working knowledge of common application software.
Intermediate knowledge of the structure and content of the English Language.
Experience
Five (5) years or more of experience in Accounting - Collections. Insurance industry, preferable.
Auto-ApplyAccounts Receivable Analyst
Credit analyst job in Guaynabo, PR
Our client is the leader in presenting dental services.
Responsible for the analysis and registration of accounts receivable.
Responsibilities
Analyze and record accounting transactions.
Audit accounts and detect errors in the billing process.
Requirements
Associate or Bachelor's degree in Accounting and/or Finance
No experience require
Salary $11.50 p/h
EEO
“Somos un patrono con Igualdad de Oportunidades en el Empleo y tomamos acción afirmativa para reclutar a Mujeres, Minorías, Veteranos Protegidos y Personas con Impedimentos.”
FinOps Analyst
Credit analyst job in San Juan, PR
**About Us** **Since 1989, SHI International Corp. has helped organizations change the world through technology. We've grown every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's concierge approach to help them solve what's next.** **But the heartbeat of SHI is our employees - all 6,000 of them.** **If you join our team, you'll enjoy:**
+ **Our commitment to diversity, as the largest minority- and woman-owned enterprise in the U.S.**
+ **Continuous professional growth and leadership opportunities.**
+ **Health, wellness, and financial benefits to offer peace of mind to you and your family.**
+ **World-class facilities and the technology you need to thrive - in our offices or yours.**
**Job Summary**
The FinOps Analyst is an entry-level, non-customer-facing role designed to support the delivery of FinOps services across multi-cloud environments. This role is ideal for individuals beginning their FinOps career, with responsibilities focused on data analysis, reporting, and internal support for FinOps Consultants. The Analyst will work closely with internal teams-including engineering, finance, and ITAM-to ensure accurate cloud cost visibility, support optimization efforts, and contribute to the development of FinOps deliverables.
**Role Description**
+ Analyze cloud usage and cost data across public cloud and SaaS
+ Assist in collecting, cleaning, and validating cloud billing and usage data
+ Support tagging compliance, cost allocation, and budget forecasting
+ Build and maintain dashboards and reports using Excel, Power BI, or Tableau
+ Perform anomaly detection and contribute to cost optimization analysis
+ Maintain internal FinOps tools, automation scripts, and documentation
+ Collaborate with engineering, finance, and ITAM teams to align asset and cost data
+ Participate in internal FinOps enablement, training sessions, and maturity assessments
+ Contribute to internal knowledge bases and process improvement initiatives
+ Understand Cloud Usage & Cost: Reporting & Analytics
+ Optimize Cloud Usage & Cost: Tagging, Allocation, and Anomaly Detection
+ Manage the FinOps Practice: FinOps Practice Operations
**Behaviors and Competencies**
+ Analytical Thinking: Can apply critical thinking to analyze data, identify patterns, and make basic inferences.
+ Data Analysis: Can identify patterns and trends in data, propose hypotheses, and use statistical techniques to test them.
+ Data Literacy: Can identify relevant data sources, collect data, and use basic tools to interpret and report findings.
+ Critical Thinking: Can analyze and interpret data to inform decision-making, and propose solutions based on logical reasoning.
+ Attention to Detail: Can identify errors or inconsistencies in work and make necessary corrections.
+ Communication: Can effectively communicate complex ideas and information, and can adapt communication style to the audience.
+ Problem-Solving: Can identify problems, propose solutions, and take action to resolve them without explicit instructions.
+ Technical Expertise: Can apply technical knowledge and skills effectively in most situations, with occasional guidance.
+ Time Management: Can generally use time effectively and is working towards improving task prioritization and deadline management.
+ Continuous Improvement: Can identify moderate areas for improvement and implement moderate changes.
**Skill Level Requirements**
+ Database management and reporting skills - Intermediate
+ Strong organizational skills - Intermediate
+ Experience with customer relations and satisfaction - Intermediate
+ Ability to multitask and complete tasks with efficiency and accuracy - Intermediate
+ Ability to follow direction while working individually and in a team environment - Intermediate
+ Ability to accept, understand, and learn from management feedback - Intermediate
+ Ability to work effectively within all levels of an organization, both internally and externally - Intermediate
+ Strong negotiation skills with the ability to influence stakeholders - Intermediate
**Other Requirements**
+ Bachelor's degree in Finance, Business, Computer Science, Data Analytics, Engineering, or related field
+ 1+ year of professional experience in FinOps, cloud operations, finance, or data analytics
+ Proficiency in Excel (pivot tables, formulas, Power Query)
+ Familiarity with cloud platforms (AWS, Azure, GCP) and FinOps concepts
+ Curiosity and willingness to learn FinOps practices and tools
**Preferred Skills:**
+ Exposure to Power BI, SQL, Python, or scripting languages
+ Understanding of cloud billing models and cost optimization techniques
+ Experience with FinOps tools (e.g., Flexera, Cloudability, CloudHealth, Ternary, CloudZero, etc)
+ FinOps Certified Practitioner or willingness to obtain within 90 days
+ One or more foundational cloud certifications (e.g., AWS Cloud Practitioner, Azure Fundamentals)
\#LI-DM7
The estimated annual pay range for this position is $80,000 - $105,000 which includes a base salary. The compensation for this position is dependent on job-related knowledge, skills, experience, and market location and, therefore, will vary from individual to individual. Benefits may include, but are not limited to, medical, vision, dental, 401K, and flexible spending.
Equal Employment Opportunity - M/F/Disability/Protected Veteran Status
Analyst
Credit analyst job in San Juan, PR
Arival Bank International Corp. is a US-based digital bank licensed and regulated by OCIF. After obtaining our US-based banking license at the beginning of 2021, we officially went live in June 2021 and have onboarded 650+ B2B customers from over 60+ countries. Equipped with forward-thinking compliance, Arival is on a mission to become the go-to digital bank for corporate and institutional clients all over the world. We're actively growing our international team with offices in Puerto Rico, Europe, and Singapore, with over 60+ employees, and building many departments from the ground up.EVERYDAY TASKS:Analysis of existing business processes and technical solutions, creation and description of the new ones.Assessment of necessary changes and their implementation.Identification of business requirements for the product and new functionality.Decomposition of complex tasks.Drawing up a task plan for developers.Creating detailed technical documentation.JOB REQUIREMENTS:Analytical mindset, logic-focused thinking. Experience in analysis and description of business processes.Fluency in Scrum and Agile methodologies.Experience with troubleshooting and debugging production issues.3+ years of corporate development career.Solid understanding of the whole web stack and how all the pieces fit together (front-end, server-side, database, network layer, etc.).Native to the startup world, used to its dynamic, fast-paced and demanding environment.Deep knowledge and understanding of fintech.
DESIRED QUALIFICATIONS:Upper Middle or Senior level.Bachelor's degree in relevant field. Master's degree and/or relevant certifications are a plus.Digital banking and/or fintech experience is preferred.Strong knowledge of banking operations processes.Creative approach, ability to anticipate challenges and develop innovative solutions.Ability to confidently collaborate with a range of colleagues and departments across our organization as well as working solo.Strong communicative and presentation skills. Ability to identify key themes and communicate relevant insights that drive decision making Good communication skills, written and verbal with the ability to simplify data and build recommendations based on insights gathered.Willingness to work across different time zones with global and regional teams BENEFITS:Join our international team of visionaries in startup attire.Enjoy a highly diverse and international culture.An opportunity to build future, freedom to work anywhere you want.Fair pay, no matter where you live along with a competitive benefits package.Health, dental, and vision insurance.Disability benefits.401(k) plan with corporate matching.Computer setup of your choice.Generous paid time off to relax and recharge.Opportunity to work in a growing mission-driven startup.
FIU Analyst
Credit analyst job in San Juan, PR
About Zenus
Zenus' mission is to facilitate banking beyond borders. Operating in over 180 countries, we enable people and businesses to open a US bank account online without the need to be a US citizen, resident, or company registered in the US-opening up the security, stability, and freedom of US banking to the world.
Our state-of-the-art technology, exclusive partnerships, and proprietary processes are now available via our embedded banking services, enabling other businesses to create new financial service experiences for their customers.
Our diverse and inclusive team is headquartered in San Juan, Puerto Rico, and has presence the US, Central and South America.
About the Role
A FIU Analyst reviews customer and transactional activity to identify patterns and evaluate behavior. This position detects and reports various types of financial crime.
As FIU Analyst, your main objective is to protect the bank from loss and risk, safeguard our customers, and assist law enforcement.
Responsibilities & Duties:
Responsible for monitoring retail and commercial accounts profile exceptions and rule-based flag and determine if the activity is compliant with BSA, US PATRIOT ACT, and OFAC regulation. Escalate flag disposition to the Assistant Compliance Officer.
Investigate activity considered unusual or that resembles money laundering or terrorism financing patterns and collect supporting documents for the disposition. Escalate investigation conclusion to Assistant- Compliance Officer for review.
Escalate OFAC and financial crimes true matches to the FIU Sr. Compliance Analyst.
Review and validate that established account have submitted documents required after onboarding
Skills:
Proficient in spreadsheets, databases, dashboards, and Microsoft Office.
Strong detail-orientation, planning and organization
Ability to manage multiple projects as well as follow-through skills
Excellent communication; both written and verbal
Ability to maintain attention to detail and accuracy under pressure situations
Ability to think creatively, highly driven, and self-motivated
Ability to meet deadlines and demonstrate effective problem-solving skills
Highest standards of accuracy and precision
What you need for this Role:
Must have one (“1”) year to three (“3”) years of experience working in transactions monitoring: profile exceptions, rule-based flags, real time monitoring, or a Bachelor of Science or a Bachelor of Arts. Education may substitute one year of experience.
Effective team player, able to work with people of all levels and build strong relationships.
Proficiency in English
EEO
Analyst, Retail Channels (Sales Training)
Credit analyst job in Trujillo Alto, PR
As a Sales Development Trainer you will support effective implementation of new initiatives and projects to become part of daily operations in alignment with our franchise standards and corporate values. As part of implementation provides training to team members to support adoption of new ways of doing things and keep them going. Positions works on-site based in Trujillo Alto, PR.
MAJOR DUTIES & RESPONSIBILITIES:
Work in project implementation plan in accordance with deployments strategy and schedules.
Provides training, orientations, reviews, and seminars to internals clients in relation to projects, initiatives implementation and/or continuous operations.
Provides training, orientations, reviews, practices, skills, and tools to new employees in relation to operations, sales and services, and customer services interactions regarding the employee unit.
Visit branches, remote network, self-service channels to explain and or review expectations with internal and external clients.
Work closely with the client and projects Implementation Manager.
Organizes, convenes and documents regular client and internal project team meetings throughout implementation and post go-live to present and review project activities, establish deadlines and keep project on track.
Monitors every step of the implementation process or school progress and results of protocol coaching, quality and service operations; anticipates potential issues and proactively communicate details or issues to supervisor.
Participate in projects development and proactively anticipate potential issues.
Communicates clients concerns and future needs to projects team and supervisor.
Provides projects related demos to new and existing clients.
Other duties may be assigned.
EDUCATION AND EXPERIENCE:
Bachelor's degree in Business Administration or related fields required.
One (1) year of experience in a similar position working on training implementation.
Minimum education and experience required can be substituted with the equivalent combination of education, training and experience that provides the required knowledge skills and abilities.
Ability to plan, organize and prioritize multiple projects to independently meet deadlines and complete tasks in an accurate manner.
Ability to work collaboratively and effectively with diverse staff, colleagues, and clients.
Fully bilingual - English and Spanish (verbal and written) required.
Proficiency in MS Office (Excel, Power Point, Word) and other business applications required.
WORK AUTHORIZATION & ELEGIBILITY:
Legally authorized to work in the US is required. This position is of indefinite duration and requires candidates to have permanent or ongoing work authorization.
Employee is responsible for maintaining eligible work authorization throughout his tenure with the organization.
Oriental is an Equal Opportunity Employer (EEO/Affirmative Action for Veterans/Workers with Disabilities)
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