Medical Specialist

1 week ago

Barcelona, Philippines beBeeWoundCare Full time ₱40,000 - ₱60,000

As a highly skilled Medical Reviewer, you will play a crucial role in ensuring patients receive the care they need.

The Opportunity

This is an excellent opportunity to join our team as a dedicated 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.

You will work with a dynamic and growing healthcare facility, leveraging your expertise in meticulous documentation and effective communication to make a meaningful impact.

This position offers the flexibility of working from home, allowing you to maintain a healthy work-life balance while contributing to our growing business.

Your Responsibilities Will Include:
  • Responsible for records progress for wound care intake
  • Pull reports and documents for patients who are at home with wounds at time of review
  • Communicate with the Payer team 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
To Succeed In This Role, You Will Need:
  • 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.
Benefits Of Working With Us

We offer a remote working environment, allowing you to collaborate with an international team while contributing to our growing business.

Essential requirements include a reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection.

We invite you to take the next step and apply now.

Join Our Team

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