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SalaryGEMCORE’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 2020, 2021, 2022, and 2023Top Workplace! 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? 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 Insurance Verification Representative or Change of Insurance Representative to join our high energy team. The Insurance Verification Representative’s primary role is to verify Medicare, Medicaid and commercial insurance(s) coverage for new and existing customers.
- This is a full-time, non-exempt, entry level position.
- This position is located in Hudson, OH. This position would be a hybrid office/work from home position after training is complete.
- Schedule is 8:15 am - 5:00 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 change of insurance task/updating account.
- Data entry of updated customer account information for claim processing.
- Be knowledgeable of company products, Medicare guidelines, and various types of insurance plans to determine customer eligibility.
- Develop and maintain positive relationships with medical offices, insurance companies, federal and state agencies.
- Direct customer communications when necessary to determine third party reimbursement.
- Analyze healthcare provider guidelines to resolve benefit plan and coverage discrepancies.
- Escalate discrepancies when necessary and understand when to “bump –it –up” to the management level.
- Troubleshoot insurance coverage issues for new and existing customers.
- Process and ship customers change of insurance orders.
Key Requirements:
- Self-starter with the ability to work independently to achieve desired results.
- Insurance or clinical background helpful but not necessary.
- Good organizational and multitasking ability required.
- Excellent telephone skills required.
- Word processing ability of 40 WPM.
- Minimum of 1-2 years of experience in a consumer service organization or healthcare environment.
- Good cognitive reasoning ability wanted.
- Light lifting of up to 25 pounds.
- 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.
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.
To learn more about this position and to view other openings, visit our career site: https://www.gemcorehealth.com/careers/
