Payor Network Coordinator - Onsite/hybrid role

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 2020, 2021,2022, 2023, and 2024 Top Workplace. 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 healthcare distribution company specializing in highly efficient distribution through its nationwide wholesale, retail, and pharmacy divisions.  We are seeking a highly motivated Payor Network Coordinator that would concentrate in the areas of contracts & licensing and provider relations to better serve and create satisfied customers. This position will assist all the support functions of the Edwards Health Care payer network.

• This is a full-time, non-exempt, entry level position.

• Once training is complete, this position will be part of a hybrid remote work schedule. This position is located in Hudson, OH.

• 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 duties and responsibilities:

• Research payer organizations and payer contracting processes.

• Complete and disseminate payer enrollment applications and credentialing/re-credentialing documents on a timely basis.

• Research reimbursement information of assigned payers.

• Complete payer contract renewal checklist.

• Coordinate the implementation of payer contracts with claims and operations personnel.

• Maintain payer database, reports and administrative files.

Key Requirements:

• Knowledge of CPT/HCPC coding.

• Familiarity with durable medical equipment fee schedules.

• Ability to multi-task, adapt to change and prioritize work assignments.

• Proficient with all Microsoft Office applications Word, Excel, PowerPoint etc. with high internet acumen.

• Good organizational and cognitive reasoning ability.

• Strong written and verbal communication skills.

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 28 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.

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/