Medico Bilingue Ingles conversacional
- Zapopan, Jal.
- Permanente
- Tiempo completo
Intugo in partnership with a leading U.S.based healthcare organization.About the Role
Intugo is hiring Bilingual Doctors to support a U.S. healthcare partner that specializes in medical review services for hospital admissions, case management, and insurance compliance across the United States. This is a unique opportunity to apply your medical expertise in a nonclinical, professional setting while deepening your knowledge of the U.S. healthcare system and insurance regulations.What Youll Do
As a Bilingual Doctor, you will play a key role in reviewing clinical cases and ensuring alignment with insurance and hospital policies. Your contributions will directly support decisionmaking and communication between healthcare providers and insurance carriers.Key Responsibilities
Evaluate medical necessity of admissions and services prospective, concurrent, retrospective
Support discharge planning, utilization review, and case management
Serve as a liaison between attending physicians and Physician Advisors
Document denial cases and resolution efforts in the EMR system
Manage all payor communications for appeals and system uploads
Collaborate on diagnosis, treatment plans, and clinical documentation
Participate in peer reviews and utilization management initiativesDepartment Overview
This department focuses on the efficient review of medical services, supporting clinical teams in making informed decisions. The team plays a critical role in ensuring compliance with reimbursement policies and coordinating care within a structured, professional framework.Candidate Profile
Strong English communication skills spoken and written
Minimum 6 months of clinical or hospital experience
Solid general medical knowledge
Excellent interpersonal and customer service skills
Bolsa de trabajo México ofrecemos puesto de Medico Bilingue para el sector de Atencion a clientes en la empresa Intugo de Zapopan. Salario acorde a tu experiencia y al salario medio del sector. Actualiza ahora tu currículum vitae y postúlate a este empleo. Tipo de empleo Tiempo Completo.
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