Cardiac Diagnostics Reimbursement Specialist

Job not on LinkedIn

🔥 20 minutes ago

🐊 Florida, Illinois, +4 more states – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of ZOLL Medical Corporation

ZOLL Medical Corporation

1001 - 5000 employees

🏥 Healthcare

🎖️ Defense

📦 Logistics

Healthcare • Defense • Logistics

ZOLL Medical Corporation is a prominent manufacturer of medical devices and related software solutions, dedicated to empowering healthcare professionals, emergency responders, and military personnel to deliver life-saving care and improve patient outcomes. The company provides advanced products such as automated external defibrillators (AEDs), monitors, defibrillators, automated CPR machines, ventilators, and more, alongside an array of software solutions that enhance the performance of healthcare and emergency services. ZOLL is committed to innovation in areas like cardiac resuscitation, temperature management, and sleep apnea, while also offering comprehensive training and support services to ensure optimal utilization of its devices. Proudly supporting communities with tools that enhance public and non-acute care, ZOLL aids in every moment of response and rescue, affirming its mission to aid in saving lives.

📋 Description

• Create patient records • Verify benefits • Triage, work, and resolve intake orders • Explain medical need and educate insurance case managers on the LifeVest system to obtain service authorization • Obtain medical orders, clinical notes, testing, and other documentation and submit them to insurance carriers for coverage determination • Obtain payer-required authorizations • Follow up promptly on assigned tasks • Maintain at least a Meets Expectations score on the monthly scorecard • Identify qualifying diagnoses based on payer requirements • Triage fax documents for timely review • Communicate authorization results and order status to sales representatives • Complete the fee calculator and inform billing of appropriate charges • Contact customers, physician offices, and sales representatives regarding insurance information and additional documentation to support reimbursement and coordination of benefits • Build and maintain relationships with insurance companies, sales representatives, and internal departments

🎯 Requirements

• High School Diploma required • Associate's Degree or Bachelor's Degree in nursing, business, or other related field preferred • Minimum of 2 years insurance verification experience OR internal candidates with a minimum of 1 year experience supporting medical providers or patients in a phone queue required • Superior verbal and written communication • Strong customer service skills • Proficiency in navigating several software systems concurrently • Ability to handle multiple tasks simultaneously under strict deadlines • Attention to detail • Superior organizational and time management skills • Ability to communicate policy information clearly and in detail • Proficiency with MS Office Suite • Ability to meet the stated physical demands

🏖️ Benefits

• Comprehensive benefits plans • Remote work arrangement • Compensation compliance with applicable federal, state, and local wage laws

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