Field Reimbursement Specialist

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.

Work Hours - 8:30 am - 5:00 pm PST

Job Summary

Field based support to LifeVest reimbursement efforts by working collaboratively with partnered Territory Managers, ZOLL customers, National Accounts and reimbursement operations personnel to assist with reimbursement/managed care-oriented activities.

Essential Functions

• Coordinates the authorization process with the hospital personnel, payer representatives and ZOLL reimbursement operations
• Provides education on the LifeVest benefits & process to hospital case managers, payor case managers & other payor focused contacts
• Maintains customer profile data on the different layers of managed care contacts in geography
• Works in partnership with the National Accounts team to ensure that the Field Reimbursement Specialist activities support the managed care goals and objectives
• Responsibilities include supporting reimbursement focused activities for field sales, proactively educating hospital and payor case management, preparing appropriate documentation packages for authorizations, and understanding and communicating the managed care flow of the geography
• Initiate and follow up on Letters of Agreement with targeted payors
• Educate hospital case management, physicians and physician offices on reimbursement best practices and initiatives
• Communicates with field sales on reimbursement best practices and trends with designated payors
• Available as point of contact for field sales and field sales leadership during reimbursement process
• Available/willing to work/travel weekends and evenings

Required/Preferred Education and Experience

• Bachelor's Degree or equivalent education and experience required
• Completed a Registered Nursing Program or other equivalent clinical background required
• Case Manager or Resource Utilization experience preferred
• Cardiology clinical acumen required

Knowledge, Skills and Abilities

• Computer literate with the ability to learn proprietary software
• Must be proficient in Microsoft Office (Word, Excel, PowerPoint and Outlook)
• Must be able to comfortably navigate the internet as well as Payor websites

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.

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The annual salary for this position is:

$72,000.00 to $77,000.00

Factors which may affect starting salary include geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.

Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee’s primary work location.

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

ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.