Medical Specialist

2 weeks ago

Porac, Philippines beBeeWoundCare Full time ₱800,000 - ₱1,200,000

Job Title: Medical Reviewer

Description: We are seeking a skilled Medical Reviewer with expertise in wound care to join our team. In this role, you will manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials. Your expertise in meticulous documentation and effective communication will play a crucial role in ensuring patients receive the care they need.

Key Responsibilities:
  • Responsible for records progress for wound care intake
  • Pull reports and documents for patients who are at home with wounds at time of review
  • Communicate with the Payer team to determine which patients have insurance eligibility and assess which wounds are eligible for supplies under Medicare medical necessity guidelines
  • Store and effectively organize records of clinical details, dispensing orders, and documents
  • Enter patient, wound, and dressing data into wound orders and onto spreadsheets
  • Add product specifics to spreadsheets, support product verification steps to prepare orders including sizes, quantities, preferred brands
  • Validate medical necessity for existing orders, document changes accurately
  • Communicate via email and phone with staff at homes, clarifications on clinical questions or timeline on order signatures required for delivery date
  • Collaborate with the clinical review team in other service lines may be required
  • Tracking communication and findings within the company system
  • Provide support for tracking systems, IT, and spreadsheet tools for chart reviews and order preparation
  • Support streamlining communication and workflow with resources available
  • Maintain working knowledge and tracking of product billing and reimbursement data
  • Product research, cost-effective and comparable product resources

Required Skills and Qualifications: 2+ years of clinical wound care experience, Diploma/ Degree in Nursing, Medicine or related field, Excellent English communication skills, both verbal and written, Ability to work in a fast-paced environment, Strong critical thinking and customer service skills, Knowledge of eligibility, Medicare and product guidelines for education sessions i.e., Noridian LCD.

Benefits: This position is remote and offers flexibility in working from home. You will collaborate with an international team while contributing to our growing business.

Essential Requirements: A reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection. Backup internet connection is also required.

  • Medical Specialist

    2 weeks ago

    Porac, Philippines beBeeCareer Full time A$175,000 - A$350,000

    Job OpportunityWe are seeking internationally qualified medical professionals to join our Australian clinics, offering a fulfilling career environment.Main ResponsibilitiesTo provide high-quality patient care with autonomy and independenceTo collaborate with specialist equipment and a strong patient baseTo participate in flexible working conditions that...

  • Medical Record Specialist

    2 weeks ago

    Porac, Philippines beBeeDocumentation Full time ₱60,000 - ₱75,000

    Healthcare Documentation SpecialistWe are seeking a skilled and detail-oriented Healthcare Documentation Specialist to join our team. This role involves transcribing diagnostic test results, procedures, and consultation notes into applicable report formats.Key Responsibilities:Transcribe medical records accurately and efficiently.Expand medical abbreviations...

  • Medical Coding Specialist

    7 days ago

    Porac, Philippines Sourcefit Full time

    Position Summary The Medical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. Job Details Work from Home Monday to Friday | 7:00 PM to 4:00 AM Manila Time US Holidays will be followed Responsibilities Analyze patient charts carefully to know the diagnosis and...

  • Medical Information Specialist

    2 weeks ago

    Porac, Philippines beBeeMedical Full time ₱1,500,000 - ₱2,000,000

    Job OverviewWe are seeking a highly skilled and compassionate medical professional to join our team as a Medical Information Specialist.

  • Medical Coding Specialist

    2 weeks ago

    Porac, Philippines beBeeCoding Full time ₱600,000 - ₱800,000

    Job Summary:As a Medical Coding Specialist, you will play a pivotal role in ensuring accurate and timely submission of medical claims.This is an opportunity to make a significant impact on our organization's financial operations and the quality of service we provide to our clients.Key Responsibilities:Analyze and abstract medical information from patient...

  • Senior Medical Coding Specialist

    2 weeks ago

    Porac, Philippines beBeeMedicalCoding Full time ₱600,000 - ₱800,000

    Medical Coding Specialist OpportunityWe are seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated...

  • Medical Coding Specialist

    2 weeks ago

    Porac, Philippines beBeeCoding Full time ₱399,999 - ₱599,999

    Medical Coding Specialist OpportunityThis role offers a chance to work as a medical coder for a leading healthcare provider, responsible for assigning diagnostic and procedural codes to patient charts of moderate complexity.Key Responsibilities:Assign ICD-10-CM, CPT, and HCPCS codes to patient recordsExtract clinical and other data elements into the medical...

  • Medical Claims Specialist

    2 weeks ago

    Porac, Philippines beBeemedical Full time ₱250,000 - ₱350,000

    Job OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team. The ideal candidate will possess excellent written and oral communication skills, attention to detail, and the ability to multitask.

  • Medical Claims Analyst

    2 weeks ago

    Porac, Philippines beBeemedical Full time ₱250,000 - ₱350,000

    Medical Billing SpecialistWe are seeking a detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.

  • Ophthalmology Optometry Medical Claims Specialist

    2 weeks ago

    Porac, Philippines beBeeRevenue Full time ₱800,000 - ₱1,200,000

    Job Title:Medical Claims SpecialistWe are seeking dedicated Medical Claims Specialists to work from home. The ideal candidate will have expertise in medical billing and coding, with a strong understanding of healthcare insurance plans and related policies.Responsibilities include managing accounts receivables, coordinating with healthcare providers and...