
Médico con Inglés Avanzado
- Guadalajara, Jal.
- Permanente
- Tiempo completo
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.Job Responsibilities:
● Evaluate medical necessity of admissions and services
● Support discharge planning, utilization review, and case management
● 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 initiativesCandidate 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 skillsMínimo Nivel Académico Requerido Universidad CompletaMínimo Nivel de Inglés Requerido AvanzadoMínima Experiencia Laboral Requerida 1 año
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