17 sep
|
Touch Support
|
Guadalajara
17 sep
Touch Support
Guadalajara
Required work experience: 2-4 years
Location: 100% Remote - Open to All Applicants in Mexico.
Who Are We?
Touch Support, a multinational Business Process Optimization company, is rapidly
expanding its finance and support teams. We are seeking a motivated,
detail-oriented individual in Mexico to join our team as a Managed Care Case
Manager. With over 350 employees across the US and Europe and a proven track
record of successful remote onboarding, we are excited to offer this long-term
opportunity to talented professionals like you.
What We’re Looking For
* 2–4 years of experience as an RN, LPN, USRN, or Healthcare Virtual Assistant
with clinical nursing education.
* Knowledge of US healthcare insurance, Medicare Advantage, Medicaid MCOs,
commercial payors, and criteria such as InterQual/MCG is a plus.
* Experience with PointClickCare, MatrixCare, Availity, NaviHealth, or similar
systems.
* Strong English communication, organization, attention to detail, and
time-management skills.
* Ability to manage high-volume authorization workflows independently.
* Shift & Schedule - full-time, five days per week (US business hours align - 7
AM - 3 PM CDT), including dedicated Weekend Coverage.
What You’ll Do
* Manage pre-admission and prior authorizations with MCOs, Medicare Advantage,
and commercial insurers.
* Conduct concurrent reviews and clinical chart audits to support continued
stays.
* Track authorizations, length of stay, and expiration dates to prevent
coverage gaps and lost revenue.
* Communicate with insurance case managers, medical directors, and facility
clinical teams.
* Support Peer-to-Peer reviews and appeals when coverage is denied.
* Coordinate with intake, nursing, social work, and billing teams.
* Maintain accurate authorization records in the EHR.
* Provide weekend/high-volume coverage and ensure smooth team handoffs.
What We Offer:
* Starting salary: 665 USD gross monthly
* Comprehensive Training: We provide extensive initial training and ongoing
men
📌 Managed Care Case Manager (Guadalajara)
🏢 Touch Support
📍 Guadalajara