
Medical Wound Care Specialist
18 hours ago
As a Medical Wound Care Specialist, you will be responsible for managing patient wound care records and coordinating the supply of essential medical materials. The role requires meticulous documentation and effective communication skills to ensure patients receive the care they need.
The Opportunity:You will be working with an East Coast-based healthcare client, managing patient wound care records, verifying insurance eligibility, and coordinating the supply of essential medical materials. Your expertise in wound care will play a crucial role in ensuring patients receive the care they need.
This position is remote, offering the flexibility to work from home. You will be required to have a reliable computer, noise-canceling headset, and a stable internet connection.
Your Responsibilities:- Responsible for progress notes 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 and 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
- 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.
This position offers a remote work arrangement, providing flexibility and convenience. You will collaborate with an international team while contributing to our growing business.
Essential Requirements:A reliable computer, noise-canceling headset, and a stable internet connection are required for this role. A second monitor for enhanced productivity is also recommended.
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