
Clinical Wound Care Specialist
6 days ago
We are seeking a dedicated individual to manage patient wound care records and verify insurance eligibility.
This role involves meticulous documentation, effective communication, and working in a fast-paced environment.
Your Responsibilities Include:- Record progress for wound care intake
- Pull reports and documents for patients with wounds at home
- Communicate with the payer team to determine insurance eligibility and assess which wounds are eligible for supplies under Medicare medical necessity guidelines
- Store and organize records of clinical details, dispensing orders, and documents
- Enter patient, wound, and dressing data into wound orders and onto spreadsheets
- Validate medical necessity for existing orders and document changes accurately
- Communicate with staff via email and phone regarding clinical questions or timelines for order signatures
- Collaborate with the clinical review team and track communication and findings within the company system
- Provide support for tracking systems, IT, and spreadsheet tools for chart reviews and order preparation
- 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
This is a remote position offering flexibility and convenience, allowing you to work from home.
A reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection are required.
Why Choose This Opportunity?You will have the opportunity to work with an international team while contributing to our growing business from the comfort of your own home.
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