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Field Reimbursement Specialist- New York

Location: Newark, NJ

Cardiac Management Solutions

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.

Position 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 Duties and Responsibilities:

  • 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 to meet expectations of management.
  • Performs other duties as assigned by Management.   

Supervisory Responsibilities: None.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skills and abilities required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.

Educations and/or Experience:

  • Bachelor’s Degree from a four-year college or university, or equivalent education and experience; or completed a Registered Nursing Program, or has other equivalent clinical background.
  • Case Manager or Resource Utilization experience preferred. Cardiology clinical acumen.
  • 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

Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos.  Ability to write simple correspondence.  Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Mathematical Skills:  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability:  Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

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. 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; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to walk. The employee must occasionally lift and/or move up to 10 pounds.

Work Environment:

  • 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.
  • The noise level in the work environment is usually quiet.

 

ZOLL is an Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity.

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