The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD), the ZOLL cardiac monitor, and associated technologies.

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. To date, the LifeVest WCD has been worn by hundreds of thousands of patients and saved thousands of lives.

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 Purpose

This is a remote/field-based representative responsible for increased levels of revenue attainment and resolution of unbilled exception management with CMS physicians, other healthcare professionals and support staff.

Duties and Responsibilities

60% Facilitate additional documentation collection when indicated for medical orders and authorizations to ensure timely and accurate claims processing by the payor.

30% Conduct complete patient reviews with healthcare professionals and office staff.

10% Develop and execute strategies and tactical plans to increase the utilization of electronic ordering and other initiatives to drive clean first-time order submissions.

• Ensures timely processing of required paperwork to prevent delays in patient fitting, billing, and recovery of products.
• Monitor Unbilled Patient Exception Status report, with timely procurement & submission of missing documents to Reimbursement Operations department including management of recurring revenue.
• Effectively manage patients through Transition of Care and additional Reimbursement processes.
• Responsibility for improved Claims Billing yield within a defined geography consisting of assigned Accounts.
• Develop and master a full working knowledge of all 3rd party payer requirements
• Understand, communicate, and train hospital and office staff to submit complete orders. Provide education and support to appropriate staff to reduce medical order exceptions, thus ensuring an increase in successful first-time order submission.
• Conduct monthly meetings with Manager to review exceptions priority related to conversion of billable patients.
• Assist with departmental projects and special tasks when assigned (e.g., Pilot Teams).
• Achieves and maintains acceptable performance metrics
• Comply with Standard Operating Procedures, particularly HIPAA
• Participate in any and all reasonable work activities as assigned and deemed appropriate by management
• Additional duties as assigned by management

Qualifications

• High School diploma/GED required
• Prefer Bachelor’s Degree from a four-year college or university, or equivalent education and relevant working experience
• Healthcare/Medical Device (Clinical or Billing) experience preferred
• Experienced ability to navigate Hospital and Clinic/Practice environments defined as proficiently navigating hospital flow, document collection, along with competent and confident provider and patient interaction
• Ability to proactively plan and work autonomously in close collaboration and communication with others
• A high sense of urgency and flexibility to one’s schedule
• Superior organizational skills with the ability to multi-task
• Problem solving mentality, while being accountable for each task from beginning to end.
• Proficient working knowledge of MS Office (including Power BI, Excel, Word, Outlook) & Customer Relationship Management systems (Salesforce.com, Dynamics) is preferred.
• Effective team player who is also capable of working independently with strong self-motivation.

Working conditions

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job is a field-based position. Employee will be responsible for working daily in hospitals, doctors’ offices and other medical establishments within the assigned territory. Approximately 80% travel within a defined geography. Occasionally may be required work atypical hours (evenings and weekends) based on business needs.

Physical Requirements

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit, talk and hear. The employee is occasionally required to stand and walk.

Supervisory responsibility - None

AAP/ EEO Statement

ZOLL is committed to fostering an inclusive workplace, where unique identities, backgrounds, cultures, perspectives and experiences are respected and valued.

Equal Opportunity Employer – Disability and Veteran