Physician Advisor and clinical Denial
Compensation: Approx. 23000 MXN GROSS (including taxes)
Location: On site Guadalajara
Requirements: Medical Doctor (MD), Fluent English
We are seeking a detail-oriented Medical Reviewer / Case Manager to support our healthcare operations. You will be responsible for admission reviews, case management, discharge planning, and utilization reviews.
Key Responsibilities:
- Evaluate medical necessity and compliance of admissions and services
- Support with claims, reimbursement, denials, and appeals
- Liaise with physicians and insurance providers to ensure accurate documentation
- Ensure completeness of clinical documentation and facilitate communication between teams
- Participate in utilization reviews and quality improvement initiatives
Qualifications:
- Doctorate in Medicine (MD)
- Fluent written and spoken English
- Strong ethics, attention to detail, and time management skills
- Ability to work independently and in a team
Join us to make a meaningful impact in patient care and healthcare operations!
Job Type: Full-time
Pay: Up to $20,000.00 per month
Work Location: In person
📌 Medical Doctor
🏢 Gracemark
📍 Guadalajara