Medico Bilingue
Empresa
intugo
Estado
Jalisco
Ciudad
guadalajara
Tipo de Contrato
Tiempo Completo
Salario
23000
Descripción
Join Our Team as a Bilingual Doctor
Intugo in partnership with a leading U.S.-based healthcare organization.
About the Role:
Intugo is hiring Bilingual Doctors to support a U.S. healthcare partner that specializes in medical review services for hospital admissions, case management, and insurance compliance 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.
What You'll Do:
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.
Key Responsibilities:
- Evaluate medical necessity of admissions and services (prospective, concurrent, retrospective)
- Support discharge planning, utilization review, and case management
- Serve as a liaison between attending physicians and Physician Advisors
- 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 initiatives
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.
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 skills
Intugo in partnership with a leading U.S.-based healthcare organization.
About the Role:
Intugo is hiring Bilingual Doctors to support a U.S. healthcare partner that specializes in medical review services for hospital admissions, case management, and insurance compliance 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.
What You'll Do:
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.
Key Responsibilities:
- Evaluate medical necessity of admissions and services (prospective, concurrent, retrospective)
- Support discharge planning, utilization review, and case management
- Serve as a liaison between attending physicians and Physician Advisors
- 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 initiatives
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.
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 skills