Medical Documentation Specialist - Onsite/Hybrid position

About the role

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 Louisville, KY. This is a full-time, non-exempt position.

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.

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.

Benefits

• Employer paid vacation.
• Medical/dental/vision insurance.
• Life insurance.
• Short and long-term disability insurance.
• 401K Retirement Savings Plan.
• Ongoing training and development.

Schedule

Schedule is 8:15am - 5:00pm, Monday through Friday.