
Medical Wound Specialist
23 hours ago
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
- 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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