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.

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  Documents to include, but not limited to, medical documentation i.e. certificates of medical necessity, pharmacy prescriptions and lab work.

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  Develop and maintain positive relationships with medical offices.

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  Communicate with customer on issues relating to documentation and missing information.

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  Data entry of updated customer account information for claim processing.

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  Be knowledgeable of healthcare products, Medicare requirements, and various types of insurance coverage to determine customer eligibility.

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  Outbound calls to physician offices to obtain all documentation and required forms.

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  Faxing of forms or documents for completion by prescribing doctors.