Wound Care Specialist

15 hours ago

Bacoor, Calabarzon, Philippines beBeeReviewer Full time ₱45,000 - ₱85,000

Limitlessli specializes in recruiting and managing high-caliber remote staff for dynamic healthcare facilities.

The Opportunity

We seek a skilled Medical Reviewer with expertise in wound care. This role involves managing patient wound care records, verifying insurance eligibility, and coordinating essential medical supplies.

This position is remote and offers flexibility to work from home.

Responsibilities:
  • Progress records for wound care intake
  • Pull reports and documents for patients with wounds at home
  • Communicate with the payer team to determine eligible patients and assess wound eligibility
  • Store and organize clinical details, dispensing orders, and documents effectively
  • Enter patient, wound, and dressing data into wound orders and spreadsheets
  • Validate medical necessity for existing orders, document changes accurately
  • Communicate via email and phone with staff at homes regarding clinical questions or order timelines
  • Collaborate with the clinical review team in other service lines
  • Track communication and findings within the company system
  • Provide support for tracking systems, IT, and spreadsheet tools for chart reviews and order preparation
To succeed in this role you will need:
  • 2+ years of clinical wound care experience
  • Diploma/ Degree in Nursing, Medicine or related field
  • Excellent English communication skills
  • 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:

Remote working environment offering flexibility and convenience

Collaboration with an international team while contributing to our growing business

Essential requirements:

A reliable computer and noise-canceling headset are required

Additionally, a second monitor for enhanced productivity and a stable internet connection are necessary

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