Reimbursement Collections Specialist

Location: Pittsburgh, PA

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.

Job purpose

The Reimbursement Collection Specialist assists with the reimbursement process by completing outbound/inbound phone calls to obtain and verify information with patients, physicians, and facilities to expedite the reimbursement process.           

Duties and responsibilities

  • Utilize current workflow processes, AR reporting and billing system to identify claims that are past timely payment

  • Perform collection activities as required

  • Utilize specified web portals or contact of hospitals and other facilities to verify in-patient stays and discharge dates

  • Obtain BLS contractual data, initiate addition of BLS to billing system, create/monitor sales order to ensure appropriate reimbursement/termination of billing for DOS indicated

  • Serve as a customer service point-of-contact for all inbound calls routed to the department

  • Verify insurance and physician information with patients and/or their designated contacts

  • Confirm patient usage by reviewing account details and/or contacting the patient via phone as needed

  • Obtain updated insurance information and submit for COB

  • Prepare and mail letters to patients where we have been unsuccessful in voice-to-voice contact

  • Resolve cross-functional account issues in a respectful and timely manner

  • Utilize position knowledge to surface issues to management team

  • Serves as primary Tiger Team personnel for cross-functional Reimbursement assistance as required 

  • Perform other duties as assigned           

Qualifications

Qualifications include:

  • H.S. Diploma or equivalent required.

  • Minimum 1-2 years experience with insurance verification.

  • Experience with Microsoft Excel, email programs, and online information systems. 

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

  • Call center experience a plus

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.

 The noise level in the work environment is usually quiet.

Physical requirements

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 and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

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

ZOLL now mandates COVID vaccinations subject to legal exemptions.

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