Reimbursement Specialist - M-F 8:30am-5:00pm (Hybrid)

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Pittsburgh, PA, USA
In-Office
Healthtech • Software
The Role
CMS

At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:

  • LifeVest, the world's first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.

  • HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.

  • TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.

Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your work will help to ensure cardiac patients get the life-saving therapy they need.
ZOLL has been Pittsburgh's Manufacturer of the Year, one of Western PA's Healthiest Employers, and even one of Pittsburgh's Coolest Offices. But it's our unique opportunity to impact people's lives that makes ZOLL the ideal place to build your career.
Job Summary
The Reimbursement Specialist is an integral member of the reimbursement team and has primary responsibility for the timely initiation of authorizations with insurance carriers for new and established patients. The representative will also be in contact with the physician office and sales staff for additional clinical information, progress notes and additional testing when required
Essential Functions

  • Communicates medical need and educates case manager on LifeVest system to obtain authorization for services. Works with insurance carriers to authorize service for new and existing patients.

  • Obtains necessary documentation for continued authorization as dictated by payer, including updated clinical information or forms.

  • Contacts the client, physician office and sales representative to relay or obtain pertinent information and documentation to ensure continued coverage.

  • Completes weekly follow up with insurance companies, physicians or sales team to obtain updated clinical and/or authorization decisions for new and existing patients.

  • Interacts with sales staff as needed to obtain required documentation.

  • Responsible for generation of all authorization requests.

  • Performs other duties as assigned by Management.

Required/Preferred Education and Experience

  • High School Diploma required

  • 3+ years’ experience in medical insurance verification preferred

  • experience working with all payer types to include Medicare, Medicaid and third-party commercial insurance companies preferred

Knowledge, Skills and Abilities

  • Superior communication and customer service skills, and ability to handle multiple tasks simultaneously under strict deadlines.

  • Strong negotiation skills.

  • Superior communication, customer service skills and strong phone presence

  • Ability to handle multiple tasks simultaneously under strict deadlines

  • Proficiency in MS Excel, MS Teams, email programs and Online data systems.

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

  • Standing - Occasionally

  • Walking - Occasionally

  • Sitting - Constantly

  • Talking - Occasionally

  • Hearing - Occasionally

  • Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.

#LI-KH1

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

ZOLL Medical Corporation Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about ZOLL Medical Corporation and has not been reviewed or approved by ZOLL Medical Corporation.

  • Healthcare Strength Medical, dental, and vision coverage includes in‑network preventive care at 100% along with behavioral health/EAP and virtual therapy options. These features are often regarded as solid to good components of the package.
  • Parental & Family Support Paid parental leave provides 12 weeks at full pay for the birthing parent and 6 weeks for the non‑birthing parent after eligibility is met. This policy is frequently highlighted as a standout element.
  • Wellbeing & Lifestyle Benefits Wellness programs offer incentives and are complemented by multiple external well‑being recognitions. These programs add perceived value to total rewards.

ZOLL Medical Corporation Insights

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The Company
HQ: Chelmsford, MA
30,000 Employees

What We Do

ZOLL Medical Corporation, an Asahi Kasei Group Company, develops and markets medical devices and software solutions that help advance emergency care and save lives, while increasing clinical and operational efficiencies. With products for defibrillation and monitoring, circulation and CPR feedback, data management, therapeutic temperature management, and ventilation, ZOLL provides a comprehensive set of technologies that help clinicians, EMS and fire professionals, and lay rescuers treat victims needing resuscitation and acute critical care. The Asahi Kasei Group is a diversified group of companies led by holding company Asahi Kasei Corp., with operations in the material, homes, and health care business sectors. Its health care operations include devices and systems for acute critical care, dialysis, therapeutic apheresis, transfusion, and manufacture of biotherapeutics, as well as pharmaceuticals and diagnostic reagents. With more than 30,000 employees around the world, the Asahi Kasei Group serves customers in more than 100 countries.

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