Medical Specialists Needed for Utilization Review
We are seeking medical professionals to join our team in a dynamic and challenging role. As a Physician Advisor, you will be responsible for conducting comprehensive reviews of patient admissions, services, and length of stay to ensure medical necessity and alignment with reimbursement policies.
Key Responsibilities:
- Conduct detailed assessments of patient care to identify areas for improvement and opportunities for cost savings.
- Work closely with treating physicians to ensure accurate and complete clinical documentation.
- Analyze and appeal clinical denials from insurance payers by providing robust medical necessity letters and compiling supporting evidence from medical records.
- Maintain up-to-date knowledge of medical policies, procedures, and regulations to ensure compliance and optimal patient outcomes.
Requirements:
- Degree in Medicine (Doctorate) from an accredited institution.
- Valid Mexican medical license (Cédula Profesional de Médico Cirujano).
- 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 your career.
Why Join Us?
- Launch a unique career path in utilization management and clinical denials.
- Enjoy a stable day schedule with consistent hours.
- Benefit from valuable training and professional development opportunities.
- Work in a collaborative team environment that values your clinical expertise.
📌 ▷ Buen Sueldo! Medical Specialist - Utilization Review...
🏢 beBeePhysicianAdvisor
📍 Guadalajara