Onsite Physician Advisor & Denials Specialist - Guadalajara

MissionHires; Región Centro; On-site; MXN 558,000 - 781,200; Full time

Job summary

Gracemark is looking for a Physician Advisor and Clinical Denial Specialist in Guadalajara, MX. This onsite role involves ensuring accurate medical documentation, managing denials and appeals, and facilitating communication between teams and insurance providers.

The successful candidate will have an MD degree, strong ethics, and at least one year of experience in medical records. If you're passionate about making a positive impact in healthcare, we encourage you to apply.

Qualifications

• 1+ years of experience in medical records and denials.
• Strong ethics and time management skills.
• Ability to work both independently and as part of a team.

Responsibilities

• Evaluate medical necessity and compliance of admissions.
• Conduct admission reviews and case management.
• Support claims, reimbursement, denials, and appeals processes.

Skills

Medical necessity evaluation

Claims management

Fluent English

Attention to detail

Independent work

Education

Doctor of Medicine (MD) degree

Job description

Gracemark is looking for a Physician Advisor and Clinical Denial Specialist in Guadalajara, MX. This onsite role involves ensuring accurate medical documentation, managing denials and appeals, and facilitating communication between teams and insurance providers.

The successful candidate will have an MD degree, strong ethics, and at least one year of experience in medical records. If you're passionate about making a positive impact in healthcare, we encourage you to apply.