05 ago
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MissionHires
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Guadalajara
05 ago
MissionHires
Guadalajara
Gracemark is seeking a dedicated Physician Advisor and Clinical Denial Specialist to join our team in Guadalajara, MX.In this onsite role, you will play a critical part in supporting our healthcare operations by ensuring the accuracy and compliance of medical documentation, managing denials and appeals, and facilitating communication between clinical teams and insurance providers.If you are passionate about integrity, excellence in service, and making a positive impact in healthcare, we invite you to apply and grow with us.ResponsibilitiesEvaluate medical necessity and compliance of admissions and servicesConduct admission reviews and case managementSupport claims, reimbursement, denials,
and appeals processesLiaise with physicians and insurance providers to ensure accurate documentationEnsure completeness of clinical documentationFacilitate communication between interdisciplinary teamsParticipate in utilization reviews and quality improvement initiativesRequirementsDoctor of Medicine (MD) degreeMinimum 1 year of experience in medical records and denialsFluent written and spoken EnglishStrong ethics, attention to detail, and time management skillsAbility to work independently and collaborativelyMust reside in Guadalajara, MXOnsite position (no remote work)#J-*****-Ljbffr
📌 Physician Advisor And Clinical Denial - Guadalajara, Mexico
🏢 MissionHires
📍 Guadalajara