Payer Strategy Support 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

Provides tactical and analytical support relative to the resolution of trending payer issues impacting AR while constructing a strong, robust, and comprehensive understanding of payer behavior.  Supports the leadership team by tracking, trending and communicating areas of opportunity.    

Duties and responsibilities

  • Review accounts receivables reports to identify and help resolve payer issues

  • Review and track incoming payer communication

  • Track and trend payer behavior and root cause

  • Communicate recommended resolutions to leadership pertaining to process gaps, payer trends or individual training opportunities

  • Support leadership in engaging National Accounts to strategically resolve payer issues where applicable

  • Support leadership in educating cross functional partners impacted by payer issues

  • Identify updates and/or changes to the payer requirements and work with appropriate teams to ensure those changes are accurately reflected in the billing system, the Billing Guide, and the Payer Resource Center

  • Responsible for maintaining and developing documents related to the strategic resolution of payer issues

  • Perform other duties as assigned by Management

Qualifications

  • High School Diploma or equivalent required

  • Continued education preferred

  • Minimum 3+ years’ experience identifying payer related concerns resulting in positive resolutions

  • Experience working with all payer types to include government and commercial insurance companies

  • Experience with Microsoft Office and navigating Windows software

  • Proficient background in Microsoft Excel

  • Superior analytical, communication, interpersonal, and organizational skills

  • Multi-tasking with a strong attention to detail

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