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Medical Documentation - Change of Insurance Representative - Office/Hybrid position

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Job Description - Medical Documentation - Change of Insurance Representative - Office/Hybrid position

Job description

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! GEMCORE is a rapidly growing multi-state family of companies headquartered in Hudson, OH.

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 Change of Insurance Representative to join our high energy team. The Change of Insurance Representative’s primary role is to verify Medicare, Medicaid and commercial insurance(s) coverage for existing customers.

  • This is a full-time, non-exempt, entry level position.

  • Once training is complete, this position will be part of a hybrid remote work schedule. This position is located in Hudson, OH.

  • Schedule is 8:00 am - 4:45 pm, 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

  • Verify customer insurance and process application.

  • Data entry of updated customer account information for claim processing.

  • Develop and maintain positive relationships with medical offices, insurance companies, federal and state agencies.

  • Analyze healthcare provider guidelines to resolve benefit plan and coverage discrepancies.

  • Troubleshoot insurance coverage issues for new and existing customers.

Job requirements

Core Competencies

  • Self-starter with the ability to work independently to achieve desired results.

  • Good organizational and multitasking ability required.

  • Excellent telephone skills required.

  • Demonstrated computer proficiency in MS Excel and Word.

  • Minimum of 1-2 years experience in a consumer service organization or healthcare environment.

Education/Experience

  • High School Diploma or GED Equivalent

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.

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About the Company

Edwards Health Care Services

Edwards Health Care Services (EHCS) provides high-quality diabetes supplies (testing, insulin pump and CGM) & breast pumps shipped directly to your home.

Read more about the company

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