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




Liaise with physicians and insurance providers to ensure accurate documentation
Ensure completeness of clinical documentation
Facilitate communication between interdisciplinary teams
Participate in utilization reviews and quality improvement initiatives
Requirements
Doctor of Medicine (MD) degree
Minimum 1 year of experience in medical records and denials
Fluent written and spoken English
Strong ethics, attention to detail, and time management skills
Ability to work independently and collaboratively
Must reside in Guadalajara, MX
Onsite position (no remote work)
#J-*****-Ljbffr

📌 Physician Advisor And Clinical Denial - Guadalajara, Mexico (Jalisco)
🏢 MissionHires
📍 Jalisco