Medical Documentation Specialist - In Office/Hybrid role

Edwards Health Care Services, Inc.•Livonia, MI

2d•Hybrid

About The Position

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.

Requirements

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

Nice To Haves

Clinical background helpful but not necessary.

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.