Intugo in partnership with a leading u.s.based healthcare organization
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 decision-making and communication between healthcare providers and insurance carriers.
department 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.
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
- 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
tipo de puesto: tiempo completo
sueldo: hasta $23,* al mes
beneficios:
- seguro de gastos médicos mayores
- vales de despensa
escolaridad:
- licenciatura terminada (obligatorio)
experiência:
- experienca en hospitales: 1 año (obligatorio)
idioma:
- inglés (obligatorio)
licencia/certificación:
- título (obligatorio)
lugar de trabajo: empleo presencial