Job Title

Role: Clinical Analyst / Medical Reviewer / CDALocation: Guadalajara (Mexico) || Av Tizoc 97, Cd del Sol, 45050 Zapopan, Jal., Mexico Job Details:We are hiring for Clinical Analyst roles in areas such as Virtual Operational Review (VOR) and Clinical Denial Analysis (CDA). This opportunity is ideal for fresh graduates in Medicine or Life Sciences as well as experienced physicians, especially those with exposure to RCM or healthcare BPO operations.You will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records. Clinical Service – VOR (Virtual Operational Review):Review clinical documents and submissions made by healthcare professionalsEnsure completeness, clarity, and compliance with medical documentation standardsClinical Denial Analyst (CDA):Analyze medical charts and documentation to identify errors, gaps, or inconsistenciesFlag documentation issues that may lead to insurance claim denialsCollaborate with physicians or other stakeholders to resolve discrepanciesSkills RequiredStrong English communication skills – verbal and writtenBasic understanding of clinical terms, medical charts, and documentation standardsAnalytical thinking and attention to detailWillingness to work in a process-driven, fast-paced environment ExpectationsFreshers with Bachelor’s in Science or MedicineExperienced physiciansProfessionals with experience in Revenue Cycle Management (RCM)Candidates with prior Healthcare BPO experience (e.g., Teleperformance, Omega, Cognizant, etc.)