Wound Care Clinic Specialist

Job Title : Wound Care Clinic Specialist

Location : [Hybrid – Advantage Center- san Antonio, TX

Schedule : Full-time | Two (2) 15-minute breaks & One (1) hour lunch

Key Responsibilities :

Serve as the liaison between Wound Care Clinics, and third-party payers to ensure all documentation meets regulatory and payer requirements.

Demonstrate complete knowledge of the Advantage Center's four key departments :

Ship Pending – Qualify orders for release

CDT – Clinical documentation review

MD Docs – Manage renewal prescriptions and payer-specific forms

POD – Secure proof of delivery

Conduct detailed review of clinical documentation, including medical records, prescriptions, operative reports, and history / physicals, to validate billing criteria.

Collaborate with clinics and field personnel to obtain missing or additional documentation necessary for order placement and / or billing.

Analyze payer-specific coverage requirements to ensure accuracy in billing and compliance.

Leverage independent problem-solving skills to develop streamlined processes while adhering to established procedures and policies.

Provide high-quality customer service in a fast-paced, competitive healthcare market.

Support teammates by providing backup coverage as needed.

Participate in additional duties as assigned by management.

Comply with and reinforce all company policies and procedures.

Ideal Candidate Profile :

Strong understanding of healthcare documentation, insurance billing, and payer compliance requirements.

Effective communicator with a customer-first approach to resolving issues.

Self-motivated and comfortable working independently or within a team setting.

Flexible and adaptable to frequent changes in workflow or processes.

Organized with keen attention to detail and the ability to multi-task.

Committed to delivering excellence in customer service and operational accuracy.

Qualifications : Required :

High school diploma or equivalent

One (1) or more years of experience in a healthcare setting

Proficient customer service and communication skills

Intermediate proficiency with Microsoft Office (Word, Excel, Outlook)

Ability to adapt in a fast-paced, ever-changing environment

Demonstrated teamwork and independent work capabilities

Preferred :

Two (2) or more years of healthcare experience

Some completed college coursework in healthcare, administration, or related fields

Essential Functions :

Repetitive keyboarding (95% of the time)

Frequent phone communication (up to 60% of the time)

Regards,

Akansha Pandey

Recruiting Partner

Americas Recruiting – Technology

HAYS Working for your tomorrow

Email- Akansha.Pandey11@Hays.com

Direct Number – (813)-280-4169