About the Company:At Limitlessli, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering meticulously tailored services to meet our clients' unique business needs.The Opportunity:Are you a skilled Medical Reviewer with a focus on wound care? Our East Coast-based healthcare client is looking for a dedicated Wound Care Intake Specialist to join their team! In this role, you'll manage patient wound care records, verify insurance eligibility, and coordinate 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. If you’re passionate about wound care and eager to make a meaningful impact, we’d love to hear from you!This position is remote and offers you the flexibility of working from home.Your responsibilities will include:Responsible for records progress for wound care intakePull reports and documents for patients who are at home with wounds at time of reviewCommunicate with the Payer team to determine which patients have insurance eligibilityAssess which wounds are eligible for supplies under Medicare medical necessity guidelinesStore and effectively organize records of clinical details, dispensing orders, and documentsEnter patient, wound, and dressing data into wound orders and onto spreadsheetsAdd product specifics to spreadsheets, support product verification steps to prepare orders including sizes, quantities, preferred brandsValidate medical necessity for existing orders, document changes accuratelyCommunicate via email and phone with staff at homes, clarifications on clinical questions or timeline on order signatures required for delivery dateCollaborate with the clinical review team in other service lines may be requiredTracking communication and findings within the company systemProvide support for tracking systems, IT, and spreadsheet tools for chart reviews and order preparationSupport streamlining communication and workflow with resources availableMaintain working knowledge and tracking of product billing and reimbursement dataProduct research, cost-effective and comparable product resourcesTo succeed in this role you will need:2+ years of clinical wound care experience preferredDiploma/ Degree in Nursing, Medicine or related fieldExcellent English communication skills, both verbal and writtenAbility to work in a fast-paced environmentStrong critical thinking and customer service skillsKnowledge of eligibility, Medicare and product guidelines for education sessions i.e., Noridian LCD.Service Fee:Industry standards applicable to the state depending on work experience and level of expertise.Hours:US Eastern Standard Time (EST) - 9am to 6pmWhy Limitlessli?We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.Essential requirements:You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application. JOIN OUR TEAM!

Medical Reviewer

Emma

Requirements and responsibilities

Skills wanted:

Language(s) required:

About Limitlessli:

www.limitlessli.com/

Admin access needed

Payment confirmed

A member of the Torre team will contact you shortly