Wound Care Specialist

TEKsystems
$21.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Texas, San Antonio
Jan 07, 2025
Description Job Description The Adv Ctr WCC Spec II position collects and analyzes needed documentation for billing. Acts as the liaison between customer, and third-party payer to ensure the order meets regulatory and payer requirements. Develops a robust relationship cadence with Wound Care professionals and field personnel which results in greater ease of doing business. PRIMARY DUTIES/RESPONSIBILITIES: Demonstration of complete knowledge of the ordering process which includes understanding of 4 major departments within the Advantage Center: oOrder Management (Qualifying orders for release) oWDT (Wound Documentation) oPDT (Prescriber Documentation) oPOD (Proof of Delivery) Utilize independent problem-solving skills to develop streamlined processes to limit contact with Wound Care Clinics while staying within the confines of process and procedure rules. Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate billing criteria. Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria. Work with Wound Care Clinics or field personnel to obtain missing documentation required for placement and/or billing. Provides a high level of customer service in a competitive market. Participates in any and all reasonable work activities as may be deemed suitable and assigned by management. Conforms to, supports and enforces all Company policies and procedures. Provide backup assistance to team members when needed Skills* clinical, research, medical notes, customer service, Medical Record, medical terminology, customer service, call center, health care, medical claims processing, insurance verification, insurance benefits, insurance authorization, insurance eligibility, insurance billing Top Skills Details clinical, research, medical notes, customer service Additional Skills & Qualifications REQUIRED QUALIFICATIONS: * High School Diploma or equivalent. * One or more years of related healthcare experience. * Demonstrated customer service skills. * Intermediate experience with Microsoft Office applications including Word, Excel and email. * Demonstrated ability to work in a team environment, as well as, independently. * Ability to multi-task and adapt in a fast paced and changing environment PREFERRED QUALIFICATIONS: * Two or more years of related healthcare experience * Some college course work completed Experience Level Intermediate Level Pay and Benefits The pay range for this position is $21.00 - $21.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in San Antonio,TX. Application Deadline This position will be accepting applications until Jan 17, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.