Medical Wound Specialist

23 hours ago


Mandaluyong City, National Capital Region, Philippines beBeeWoundCare Full time $50,000 - $70,000
Wound Care Specialist Opportunity

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

We are seeking a skilled Wound Care Specialist to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.

As a Wound Care Specialist, your expertise in meticulous documentation and effective communication will play a crucial role in ensuring patients receive the care they need.

Responsibilities:
  • Manage records progress for wound care intake
  • Prepare reports and documents for patients with wounds at home during review
  • Communicate with Payer teams to determine which patients have insurance eligibility 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
Requirements:
  • 2+ years of clinical wound care experience preferred
  • 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


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