Medical Billing 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 Medical Billing Specialist assists with the reimbursement process by reviewing account information to ensure accuracy and completeness in order to generate and create compliant invoices.

Duties and responsibilities

  • Complete all medical invoices by reviewing account data and entering billing software.
  • Determines appropriate HCPCS codes, modifiers and other invoice specific requirements or special instructions as dictated by payer.
  • Confirms all necessary documentation is on file including valid medical orders, Patient Agreement forms, evidence of patient use, and authorization as required by payer.
  • Complete initial invoices as well as all subsequent and replacement invoices for the duration of patient use, confirming all data is entered completely and correctly into the billing software.
  • Reviews Patient Agreement forms for completeness and compliance prior to invoice billing. Also responsible for acceptance or rejection of this form, communicating with external departments as needed to identify and correct errors.
  • Requests invoice adjustments for various reasons based on but not limited to compliance and documentation.
  • Contacts hospitals and other facilities to verify the patient has been discharged to the home prior to initial invoice completion as required by payer.
  • Responsible for working all assigned account exceptions in order to confirm or obtain complete and correct information needed for invoice completion daily.
  • Responsible for coding invoices appropriately for tracking purposes as instructed by invoice requestors.
  • Responsible for meeting department standards in relation to production, quality, attendance and carryover as identified, tracked and reviewed on monthly scorecards.
  • Responsible for adhering to all company processes and procedures as identified in employee handbook.
  • Performs other duties as assigned by Management.       

Qualifications

  • H.S. Diploma or equivalent required.
  • Minimum 1-2 years of experience in medical billing or certification in Medical Billing and Coding.
  • 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.

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