Medical Documentation Specialist - In Office/Hybrid role

GEMCORE’s continued success has earned us national recognition with Inc. Magazine’s list of America’s Fastest-Growing Companies and with the Cleveland Plain Dealer as a Top Workplace six years running! We are looking for qualified candidates who share our enthusiasm and drive for winning and want to be part of our caring culture!

Are you looking to begin or further your career in the medical supply industry where you are able to contribute to the success of the business, and build lasting relationships? All while allowing for personal time every evening, weekend, and holiday? Edwards Health Care Services (EHCS), a division of GEMCORE, is a well-established and growing national direct-to home medical supply provider. We are seeking a highly motivated Diabetes Documentation Specialist to join our high energy team. The Diabetes Documentation's primary role is to obtain documentation directly from physician offices for the purpose of qualifying a customer for prescribed supplies and maintaining compliance with Medicare, Medicaid, and commercial insurances.

• This is a hybrid remote position. The office is located in Livonia, MI.
• This is a full-time, non-exempt position.
• Schedule is 8:15am - 5:00pm, Monday through Friday.
• Employer paid vacation.
• Benefits available included medical/dental/vision, life, short and long-term disability insurances, and 401K Retirement Savings Plan.
• Ongoing training and development.

Key Responsibilities

• Documents to include, but not limited to, medical documentation i.e. certificates of medical necessity, pharmacy prescriptions and lab work.
• Develop and maintain positive relationships with medical offices.
• Communicate with customer on issues relating to documentation and missing information.
• Data entry of updated customer account information for claim processing.
• Be knowledgeable of healthcare products, Medicare requirements, and various types of insurance coverage to determine customer eligibility.
• Outbound calls to physician offices to obtain all documentation and required forms.
• Faxing of forms or documents for completion by prescribing doctors.

Key requirements:

• Self-starter with the ability to work independently to achieve desired results.
• Clinical background helpful but not necessary.
• Efficient in Microsoft Outlook and Excel.
• Good organizational skills and multitasking ability
• Excellent telephone skills required.
• Word processing ability at minimum of 30 WPM.
• Good cognitive reasoning ability.
• Detailed and thorough work orientation.
• Minimum 1-2 years experience in a consumer service organization or healthcare environment.
• High School Diploma or GED Equivalent

About Edwards Health Care Services, Inc.

Edwards Health Care Services, Inc. (EHCS) is a national direct-to home medical supply provider of high quality medical and diabetes products that support the needs of individuals with diabetes and other conditions. For over 25 years, EHCS have been lighting the way to better health by providing customers an easier way to have products delivered directly to their door. By partnering with healthcare professionals, product manufacturers, and a large network of government and private insurers, EHCS prides itself on personalized customer service and a simplified, seamless order process for every customer…every time! For more information, visit www.myehcs.com.

About GEMCORE

GEMCORE, a family of companies headquartered in Hudson, Ohio - Edwards Health Care Services, GEMCO Medical, GemCare Wellness, and GEM Edwards Pharmacy - offers a core set of healthcare solutions by partnering with manufacturers, providers, employer groups, insurance groups, and patients to deliver high quality healthcare products and innovative services to proactively better lives. For more information, visit www.gemcorehealth.com.

To learn more about this position and to view other openings, visit our career site: https://www.gemcorehealth.com/careers/