- 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
- 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
- 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
- Standing - Occasionally
- Walking - Occasionally
- Sitting - Constantly
- Talking - Occasionally
- Hearing - Occasionally
- Repetitive Motions - Frequently
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Field Reimbursement Specialist - California, United States - ZOLL
Description
At 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.
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 Summary
Field 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
Required/Preferred Education and Experience
Knowledge, Skills and Abilities
Physical Demands
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.
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-KH1
All 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.
