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Cardiac Intake Specialist

2 months ago

Pittsburgh PA USA, United States ZOLL Cardiac Management Solutions Full time
Job Summary

The Intake Specialist plays a vital role in the reimbursement team at ZOLL Cardiac Management Solutions, responsible for the timely handling of new medical orders from hospitals and physician offices. This individual is the primary point of contact for front-end functions of the order fulfillment process, working closely with insurance companies, sales reps, and internal departments to ensure seamless coordination.

Key Responsibilities
  • Creation of patient records, ensuring accurate and complete documentation
  • Verification of benefits, identifying coverage and clinical eligibility for the LifeVest
  • Triage, work, and resolve intake orders, communicating with insurance case managers to obtain authorization for services
  • Obtain necessary documentation, including medical orders, clinical notes, and testing, and submit to insurance carriers for coverage determination
  • Obtain authorizations as required by payer, ensuring timely follow-up on all assigned tasks
  • Maintain a score of at least Meets Expectations on monthly scorecard, identifying qualifying diagnosis based on payer requirements
  • Triage fax documents for timely review, communicating authorization results and order status to sales representatives
  • Complete fee calculator and inform billing department of appropriate charges, contacting customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation
Requirements
  • High School Diploma required
  • Associate's Degree or Bachelor's Degree in nursing, business, or other related field preferred
  • 2+ years insurance verification experience
Skills and Abilities
  • Superior communication, both verbal and written
  • Strong customer service skills
  • Proficiency in navigating several software systems concurrently
  • Aptitude to handle multiple tasks simultaneously under strict deadlines
  • Attention to detail
  • Superior organizational and time management skills
  • Ability to communicate policy information in a clear and detailed manner
  • Proficiency with MS Office Suite
About ZOLL Cardiac Management Solutions

ZOLL Cardiac Management Solutions is a fast-growing company operating 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.

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.