Edwards Health Care Services, Inc.

Edwards Health Care Services, Inc., operating within the Hospitals and Health Care industry, is currently seeking qualified candidates. As a division of GEMCORE, Edwards Health Care Services, Inc. is a well-established and growing healthcare distribution company. Edwards Health Care Services, Inc. currently has three open positions. **Sr. Manager Payer Partnerships:** This on-site position in Hudson, OH requires managing the Edwards Health Care Services, Inc. Key Payer Network Program. Key responsibilities include identifying payer trends, procuring payer contracts, assessing contract profitability, identifying payor marketing channels, nurturing payer relationships, communicating contract changes, and producing reports. The schedule is Monday through Friday, 8:15 am - 5:00 pm. **Medical Documentation Representative - Hybrid/office position:** This is a hybrid position that will be on-site in Hudson, Ohio after training. The primary role is to obtain medical records from physician offices for insurance compliance. Key responsibilities include obtaining medical records, building relationships with medical offices, communicating with customers, data entry, and making outbound calls. The schedule is Monday through Friday, 8:15 am - 5:00 pm. **Payer Partnerships Administrator:** This is an on-site position in Hudson, OH. The Payer Partnership Administrator will support the payer team with key functions of third-party payer relationships for the GEMCORE Family of Companies. Key responsibilities include researching health insurance plans, completing payer enrollment applications, monitoring payer communications, supporting contracting initiatives, and maintaining department communications. The schedule is Monday through Friday, 8:15 am - 5:00 pm. The job postings highlight the use of the following technologies and skills: * **Sr. Manager Payer Partnerships:** HCPC coding, durable medical equipment, benefits interpretation, research, problem-solving, multi-tasking, adaptability, prioritization, Microsoft Office, organizational skills, cognitive reasoning, written communication, verbal communication, provider relations, and network management. * **Medical Documentation Representative:** Self-starter, organizational skills, multitasking ability, telephone skills, cognitive reasoning, attention to detail, data entry, and customer service. * **Payer Partnerships Administrator:** CPT/HCPC coding, durable medical equipment, health insurance, pharmacy benefit managers, managed care, Medicare, Medicaid, credentialing, multi-tasking, Microsoft Office, organizational skills, communication skills, cognitive reasoning, and light lifting. The Sr. Manager Payer Partnerships and Payer Partnerships Administrator positions are on-site in Hudson, OH. The Medical Documentation Representative position is hybrid, with an office location in Hudson, OH after training. Here are some frequently asked questions about working at Edwards Health Care Services, Inc. based on the job postings: 1. **What benefits are offered?** All three positions offer employer-paid vacation. Benefits available include medical/dental/vision, life, short and long-term disability insurances, and a 401K Retirement Savings Plan. 2. **What is the work schedule for the open positions?** All three positions have a schedule of Monday through Friday, from 8:15 am to 5:00 pm. 3. **Where are the positions located?** The Sr. Manager Payer Partnerships and Payer Partnerships Administrator positions are on-site in Hudson, OH. The Medical Documentation Representative position is hybrid and has an office location in Hudson, OH. 4. **What is the focus of the Sr. Manager Payer Partnerships role?** The main responsibility is to manage the Edwards Health Care Services, Inc. Key Payer Network Program consistent with company growth objectives. 5. **What are the key responsibilities of the Medical Documentation Representative?** The primary role is to obtain medical records from physician offices for the purpose of insurance compliance. 6. **What is the Payer Partnership Administrator's role?** The main responsibility is to assist the payer team with key support functions of 3rd party-payer relationships for the GEMCORE Family of Companies.