CMS, Softaid.localAt ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:
LifeVest (https://lifevest.zoll.com/) , the world first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.
HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia-management-system/) (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.
TherOx (https://www.zoll.com/products/supersaturated-oxygen-therapy/therox-sso2-system) Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.
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.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.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.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 SummaryField 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 Functions
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
Required/Preferred Education and Experience
Bachelor's Degree or equivalent education and experience required
Completed a Registered Nursing Program or other equivalent clinical background required
Case Manager or Resource Utilization experience preferred
Cardiology clinical acumen required
Knowledge, Skills and Abilities
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
Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Talking - Occasionally
Hearing - Occasionally
Repetitive Motions - Frequently
ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.Salary range - $66,000 to $99,000#LI-KH1All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
