We are seeking a dedicated professional to join our team of medical experts. Key Responsibilities Conduct comprehensive Utilization Review (UR) for patient admissions, services, and length of stay, assessing for medical necessity against established criteria. Perform concurrent chart reviews to ensure clinical documentation supports the level of care provided. Act as a clinical liaison between treating physicians and stakeholders, facilitating discussions on patient care and documentation requirements. Analyze and appeal clinical denials from insurance payers by writing robust medical necessity letters and compiling supporting evidence from medical records. Identify gaps in clinical documentation and consult directly with attending physicians to ensure completeness and accuracy. Meticulously document all actions and outcomes in electronic medical record systems. Participate in peer review meetings and contribute to projects aimed at improving care quality and efficiency. Requirements Must possess a valid Mexican medical license (Cédula Profesional de Médico Cirujano). Medical Degree (Doctorate in Medicine) from an accredited institution. Advanced English proficiency (both written and spoken) is mandatory for reviewing complex charts and communicating with international stakeholders. Recent graduates are encouraged to apply; this is an excellent opportunity to start their careers. Unflinching personal and professional integrity. Exceptional attention to detail and analytical, problem-solving skills. Strong time management and the ability to multitask effectively in fast-paced environments. Excellent communication skills and a collaborative team spirit.
▶️ Chief Medical Advisor
🖊️ beBeePhysicianAdvisor
📍 Mexicali