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Medico Auditor Especialista Job Opening In Lima – Now Hiring La Positiva Seguros


Job description


Médico Auditor Especialista


¿Cuál será tu impacto?

Brindar asesoramiento en Auditoría Médica mediante la evaluación, ejecución y validación de las actividades propias de tu competencia, asegurando el cumplimiento de los objetivos de la compañía de seguros y contribuyendo a la rentabilidad esperada.


¿Qué harás en tu día a día?

  • Revisar y conciliar expedientes hospitalarios y ambulatorios en IPRESS.

  • Elaborar reportes de concurrencia, suscripción médica y emisión de cartas de garantía.

  • Aprobar, observar o anular cartas de garantía.

  • Validar reembolsos, indemnizaciones y pagos a proveedores.

  • Asesorar técnicamente a las áreas internas (garantías, liquidaciones, comercial, reclamos, atención al cliente).

  • Evaluar y reportar casos catastróficos, complicaciones de alto costo y convenios no concretados.

  • Ejecutar auditorías de registro, historia clínica y casos especiales solicitados.

  • Revisar preexistencias en historias clínicas de asegurados.

  • Analizar documentos médicos para suscripción, riesgos y exclusiones de pólizas.

  • Participar en capacitaciones y cumplir con protocolos y lineamientos establecidos.


¿Qué buscamos en ti?

  • Médico titulado y colegiado.

  • Especialización en
    Ortopedia y Traumatología
    .

  • Diplomado en
    Auditoría Médica
    .

  • Manejo de
    Excel intermedio
    .

  • Experiencia en auditoría de historias clínicas, gestión de expedientes y control de prestaciones de salud.

  • Conocimiento de normativas, protocolos y criterios médicos aplicables en seguros.


Modalidad:
Presencial


Horario:
150 horas mensuales

Required Skill Profession

Other General


  • Job Details

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Unlock Your Medico Auditor Potential: Insight & Career Growth Guide


Real-time Medico Auditor Jobs Trends (Graphical Representation)

Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for Medico Auditor in Lima, Peru, highlighting market share and opportunities for professionals in Medico Auditor roles.

342 Jobs in Peru
342
69 Jobs in Lima
69
Download Medico Auditor Jobs Trends in Lima and Peru

Are You Looking for Medico Auditor Especialista Job?

Great news! is currently hiring and seeking a Medico Auditor Especialista to join their team. Feel free to download the job details.

Wait no longer! Are you also interested in exploring similar jobs? Search now: .

The Work Culture

An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at La Positiva Seguros adheres to the cultural norms as outlined by Expertini.

The fundamental ethical values are:

1. Independence

2. Loyalty

3. Impartiapty

4. Integrity

5. Accountabipty

6. Respect for human rights

7. Obeying Peru laws and regulations

What Is the Average Salary Range for Medico Auditor Especialista Positions?

The average salary range for a varies, but the pay scale is rated "Standard" in Lima. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

What Are the Key Qualifications for Medico Auditor Especialista?

Key qualifications for Medico Auditor Especialista typically include Other General and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

How Can I Improve My Chances of Getting Hired for Medico Auditor Especialista?

To improve your chances of getting hired for Medico Auditor Especialista, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

Interview Tips for Medico Auditor Especialista Job Success

La Positiva Seguros interview tips for Medico Auditor Especialista

Here are some tips to help you prepare for and ace your Medico Auditor Especialista job interview:

Before the Interview:

Research: Learn about the La Positiva Seguros's mission, values, products, and the specific job requirements and get further information about

Other Openings

Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

Dress Professionally: Choose attire appropriate for the company culture.

Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

During the Interview:

Be Punctual: Arrive on time to demonstrate professionalism and respect.

Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

Follow Up: Send a thank-you email to the interviewer within 24 hours.

Additional Tips:

Be Yourself: Let your personality shine through while maintaining professionalism.

Be Honest: Don't exaggerate your skills or experience.

Be Positive: Focus on your strengths and accomplishments.

Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

Turn Off Phone: Avoid distractions during the interview.

Final Thought:

To prepare for your Medico Auditor Especialista interview at La Positiva Seguros, research the company, understand the job requirements, and practice common interview questions.

Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the La Positiva Seguros's products or services and be prepared to discuss how you can contribute to their success.

By following these tips, you can increase your chances of making a positive impression and landing the job!

How to Set Up Job Alerts for Medico Auditor Especialista Positions

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