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 Collections Specialist is responsible for working with insurance companies to facilitate the reprocessing of denied, incorrectly paid and unprocessed claims to result in a favorable return.

           

Duties and responsibilities

  • Provides outstanding customer service to both internal and external parties

  • Utilize multiple software systems to follow current workflow processes to ensure timely follow up on assigned claims

  • Contact patients, physician offices and insurance companies to relay or obtain necessary information and/or documentation to maximize reimbursement

  • Resubmission of claims after identifying initial submission was not received or rejected by the payer

  • Submits corrected claims to payer after making necessary edits on HCFA 1500 claim forms

  • Write appeals to insurance companies to overturn denied or incorrectly paid claims

  • Understand and resolve credit balances and write offs by submitting refunds, adjustments etc.

  • Communicate pertinent reimbursement issues to leadership timely

  • Monitor and manage assigned accounts timely to claim resolution

  • Perform other duties as assigned by Management

Qualifications

  • High School Diploma or equivalent required

  • Minimum 2 years’ experience in a medical revenue cycle environment with a solid understanding of HCFA 1500 claim forms

  • Experience with Microsoft Office and navigating Windows software

  • A solid, intermediate background in Microsoft Excel

  • Superior communication, interpersonal, and organizational skills

  • Multi-tasking with a strong attention to detail

  • A fast and resourceful learner with an eagerness to grow and adapt to daily challenges

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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