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Clinical Case Specialist at Solventum - ApplyBlast

Clinical Case Specialist

Solventum

18 days ago

3.5 on Glassdoor

Heredia, Costa Rica, Costa Rica

Hybrid

Full Time

Junior

0 applicants

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About this role

The Clinical Case Specialist at Solventum provides specialized professional and technical support to customers, distributors, and sales teams, focusing on clinical case management and medical necessity validation. The role involves collaborating with internal and external stakeholders to resolve clinical issues, interpret documentation, and ensure compliance with payor criteria. This position supports patient care by facilitating urgent placements and generating payer appeals while maintaining open communication across various organizational teams.

Responsibilities

Assist in urgent patient placement orders and determine medical necessity qualifications
Resolve clinical billing issues and interpret documentation for correct diagnosis codes
Evaluate VAC placements and generate payer appeals for adverse determinations

Skills

About Solventum

solventum.com

Company Size

10001+ employees

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Solventum is a healthcare company built from a legacy of innovation, dedicated to enabling better, smarter, safer healthcare to improve lives. The company offers a broad portfolio of products and solutions spanning medical care (including wound care, surgical solutions, IV site management, and sterilization assurance), oral care (dental and orthodontic solutions), and health information technologies. Solventum serves both patients and healthcare providers with clinically proven products and advanced technologies across global markets.