Claims Resolution Analyst Onsite / Hybrid position

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 Claims Resolution Analyst to join our high energy team. The Claims Resolution Analyst's primary role is to determine the root cause of denials and payment delays.

We are a fast-growing company with advancement opportunities!

This position offers the ability to work unique problems and to apply complex problem-solving skills.

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

Once training is complete, this position will potentially 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 include medical / dental / vision, life, short and long-term disability insurances, and 401K Retirement Savings Plan.

Key Responsibilities

Develop reports on insurance payment differences, appeals and rebills.

Identify denial trends and suggest process improvements.

Communicate effectively with all other department managers in solving issues and implementing new procedures.

Proficient in the knowledge of healthcare products, Medicare law, deductibles, co-payments and third-party reimbursement for customer education and employee training purposes.

Key requirements :

Medical billing / claims experience.

Qualified candidates must have excellent verbal, written and computer skills with the ability to work within a team environment.

Good organizational skills and detail orientation required.

Medical terminology preferred.

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 .

To learn more about this position and to view other openings, visit our career site : https : / / www.gemcorehealth.com / careers /