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Cardiac Reimbursement Specialist

2 months ago

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

ZOLL Cardiac Management Solutions is seeking a skilled Reimbursement Specialist to join our team. As a key member of our reimbursement team, you will be responsible for ensuring timely authorization of services for our patients.

Key Responsibilities
  • Work with insurance carriers to obtain authorization for patient services
  • Obtain necessary documentation for continued authorization, including updated clinical information and forms
  • Communicate with clients, physician offices, and sales staff to ensure continued coverage
  • Generate reauthorization requests based on initial expiration dates
  • Negotiate favorable rates with insurance carriers to guarantee assignment of benefits and determine appropriate fee schedules
Requirements
  • H.S. Diploma or equivalent required; Bachelor's degree preferred
  • Superior communication and customer service skills, with ability to handle multiple tasks simultaneously under strict deadlines
  • Minimum of 1-2 years' experience in customer service, medical insurance verification, benefits, or related area required, or Bachelor's degree and 1-year of relevant experience
  • Strong negotiation skills and experience working with all payer types, including Medicare, Medicaid, and third-party commercial insurance companies
  • Proficiency in MS Excel, email programs, and online data systems
About ZOLL Cardiac Management Solutions

ZOLL Cardiac Management Solutions is a leading developer of products to protect and manage cardiac patients. Our mission is to ensure that cardiac patients receive the life-saving therapy they need. We are committed to fostering an inclusive workplace where unique identities, backgrounds, cultures, perspectives, and experiences are respected and valued.