Overviewjoin our team as a bilingual doctorintugo in partnership with a leading u.s.-based healthcare organizationthis partner specializes in providing medical review services to support hospital admissions, case management, and insurance compliance processes across the united states. This is a unique opportunity to apply your medical expertise in a non-clinical, professional setting while deepening your knowledge of the u.s. healthcare system and insurance regulations.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 responsibilitiesevaluate medical necessity of admissions and servicessupport discharge planning, utilization review, and case managementdocument denial cases and resolution efforts in the emr systemmanage all payor communications for appeals and system uploadscollaborate on diagnosis, treatment plans, and clinical documentationparticipate in peer reviews and utilization management initiatives
candidate profilestrong english communication skills (spoken and written)minimum 6 months of clinical or hospital experiencesolid general medical knowledgeexcellent interpersonal and customer service skills
en esta posición el medico se encargara de verif icar información a través de un sistema de seguridad para validar que el diagnostico realizado sea el correcto.
Responsabilidadesverificación de información – validar diagnósticos realizados por médicos en usapoder detectar errores en recetas médicas
requisitosingles conversacionalexperiencia en urgenciasvivir cerca de plaza del soltrabajo presencial
ofrecemos$23,000 mil pesos brutos al mesgastos médicos mayores$1,000 pesos en vales de despensa30 días de aguinaldopago quincenalprestaciones de ley
hoyempresa refresquera solicita con 75 años en el mercado solicita: doctor industrial indispensable cédula profesionalexperiencia en manejo de personalconocimientos en la normativa de la stps, exámenes médicos periodicos, conocimientos en la elaboración de la st7 e incapacidadesmanejo de paquete officeofrecemossueldo mensual nominal $22,500.00aguinaldo 30 dias50% prima vacacionalcaja de ahorrohorario de trabajo de lunes a sabado de 07:00 a 15:00hrslugar de trabajo: col la tuzania zapopan jalisco
junior medical doctorguadalajara, jalisco gbit (global bridge infotech inc)we are hiring for clinical analyst roles in areas such as virtual operational review (vor) and clinical denial analysis (cda). This opportunity is ideal for fresh graduates in medicine or life sciences as well as experienced physicians, especially those with exposure to rcm or healthcare bpo operations.you will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records.clinical service – vor (virtual operational review):review clinical documents and submissions made by healthcare professionalsensure completeness, clarity, and compliance with medical documentation standardsclinical denial analyst (cda):analyze medical charts and documentation to identify errors, gaps, or inconsistenciesflag documentation issues that may lead to insurance claim denialscollaborate with physicians or other stakeholders to resolve discrepanciesskills requiredstrong english communication skills – verbal and writtenbasic understanding of clinical terms, medical charts, and documentation standardsanalytical thinking and attention to detailwillingness to work in a process-driven, fast-paced environmentfreshers with bachelor’s in science or medicineexperienced physiciansprofessionals with experience in revenue cycle management (rcm)candidates with prior healthcare bpo experience (e.g., teleperformance, omega, cognizant, etc.)
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