Clinical Wound Care Specialist

2 days ago


Makati City, National Capital Region, Philippines beBeeWoundCare Full time ₱300,000 - ₱600,000

Are you looking for a challenging career opportunity in medical review? We are seeking a skilled Medical Reviewer to join our team.

The Role:

In this position, you will be responsible for reviewing patient wound care records, verifying insurance eligibility, and coordinating 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.

This is a remote position, offering the flexibility of working from home.

Your Key Responsibilities Will Include:
  • Progressing records for wound care intake
  • Preparing reports and documents for patients with wounds at home during review
  • Communicating with the payer team to determine which patients have insurance eligibility and assess which wounds are eligible for supplies under Medicare medical necessity guidelines
  • Storing and effectively organizing records of clinical details, dispensing orders, and documents
  • Entering patient, wound, and dressing data into wound orders and onto spreadsheets
  • Adding product specifics to spreadsheets and supporting product verification steps to prepare orders, including sizes, quantities, and preferred brands
  • Validating medical necessity for existing orders and documenting changes accurately
  • Communicating via email and phone with staff at homes regarding clarifications on clinical questions or timeline on order signatures required for delivery date
  • Collaborating with the clinical review team in other service lines may be required
  • Tracking communication and findings within the company system
  • Providing support for tracking systems, IT, and spreadsheet tools for chart reviews and order preparation
  • Supporting streamlining communication and workflow with available resources
  • Maintaining a working knowledge and tracking of product billing and reimbursement data
  • Conducting research on comparable products and cost-effective options
To Succeed In This Role You Will Need:
  • A minimum of 2 years of clinical wound care experience
  • A diploma or degree in nursing, medicine, or a 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
Benefits:

This position offers a competitive hourly rate based on industry standards and level of expertise.

US Eastern Standard Time (EST) - 9am to 6pm.

Why Choose Us?

We offer a flexible remote working environment that allows you to collaborate with an international team while contributing to our growing business from the comfort of your own home.

You will need to have some essential tools - a reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection. A backup internet connection is also required to ensure seamless completion of work tasks.



  • Caloocan City, National Capital Region, Philippines beBeeWoundCare Full time ₱40,000 - ₱70,000

    Are you a skilled professional looking for a challenging role in wound care? We are seeking an experienced Medical Reviewer to join our team.Job Summary:The Medical Reviewer will be responsible for managing patient wound care records, verifying insurance eligibility, and coordinating the supply of essential medical materials.Responsibilities:Progress patient...


  • Quezon City, National Capital Region, Philippines beBeeWoundCare Full time $50,000 - $70,000

    Wound Care SpecialistWe are seeking a skilled professional to manage patient wound care records, verify insurance eligibility, and coordinate the supply of essential medical materials.This role is ideal for individuals who are passionate about wound care and eager to make a meaningful impact.Manage patient wound care records and verify insurance...


  • Mandaluyong City, National Capital Region, Philippines beBeeWoundCare Full time $50,000 - $70,000

    Wound Care Specialist OpportunityOur 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...


  • Marikina City, National Capital Region, Philippines beBeewound Full time $42,131 - $77,368

    Wound Care Specialist Job OpportunityWe are seeking a skilled Wound Care Specialist to join our team. As a Medical Reviewer - Wound Care, you will be responsible for managing patient wound care records, verifying insurance eligibility, and coordinating the supply of essential medical materials.Key Responsibilities:Manage patient wound care records, ensuring...


  • Makati City, National Capital Region, Philippines beBeeCare Full time ₱1,500,000 - ₱2,500,000

    Job OverviewWe are seeking a highly skilled Clinical Support Associate to join our team. As a Clinical Support Associate, you will play a critical role in delivering exceptional customer service and support to our members.">In this role, you will be responsible for managing the intake of member requests, working with hospitals, clinics, and facilities to...


  • Makati City, National Capital Region, Philippines beBeeHealthcare Full time $1,080 - $12,960

    Job OverviewAs a Home Healthcare Administrator, you will oversee intake coordination, compliance, and clinical documentation for home healthcare operations.This is a fast-paced environment that requires strong clinical skills and the ability to lead intake processes. Your goal will be to ensure seamless patient care and efficient operational management.Key...

  • Medical Coder

    1 week ago


    Quezon City, National Capital Region, Philippines MicroSourcing Full time ₱900,000 - ₱1,200,000 per year

    Position: Medical Coder Location: 1880 Eastwood, Libis, Quezon City Work setup & shift: WFH | Night shiftYour Role: As an Medical Coder, you will: Assign accurate CPT, ICD-10-CM, and HCPCS codes for wound care procedures, including debridement, skin grafts, and negative pressure wound therapy (NPWT). Ensure full compliance with CMS, HIPAA, and...

  • Home Care Nurse

    1 week ago


    Marikina City, National Capital Region, Philippines Home Healthlink Innovations, Inc. Full time ₱25,000 - ₱27,000 per year

    Job descriptionJoin Us TodayBe part of a team that goes above and beyond to make a real impact in the communities we serve. If you are a dedicated nurse with a passion for delivering exceptional home care, we would love to hear from you. Apply now and help us redefine what it means to care.Make a difference where it matters most—apply today at Home...

  • Clinic Nurse

    1 day ago


    Mandaluyong City, National Capital Region, Philippines De Los Santos Medical Center Full time $70,000 - $120,000 per year

    Scheduling of Consultations.Assists patient in scheduling consultation with the physician.Patient monitoring.ASSISTS physician in providing medical treatment plan to patients such as prescribed medicines, vaccines, cleaning and dressing wounds and changing bandages.ANALYZES the assessment and findings of the patient, and endorse to clinic's Occupational...


  • Marikina City, National Capital Region, Philippines Home HealthLink Innovations Inc. Full time ₱25,000 - ₱27,000 per year

    Job descriptionJoin Us TodayBe part of a team that goes above and beyond to make a real impact in the communities we serve. If you are a dedicated nurse with a passion for delivering exceptional home care, we would love to hear from you. Apply now and help us redefine what it means to care.Make a difference where it matters most—apply today at Home...