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Reorder Specialist
Pittsburgh, PA
Job Description
CMSAt 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
The Reorder Specialist is an integral member of the reimbursement team and has primary responsibility for the timely initiation and processing of a new medical order from the patient's physician. The representative will also be in contact with the physician office and sales staff for additional clinical information, would could include forms, progress notes and additional testing when required.
Essential Functions
Required/Preferred Education and Experience
Knowledge, Skills and Abilities
Physical Demands
Working Conditions
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.
ZOLL LifeVest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, status as a qualified individual with a disability, or any other protected class status.
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
The Reorder Specialist is an integral member of the reimbursement team and has primary responsibility for the timely initiation and processing of a new medical order from the patient's physician. The representative will also be in contact with the physician office and sales staff for additional clinical information, would could include forms, progress notes and additional testing when required.
Essential Functions
- Obtains necessary documentation for continued use as dictated by payer, including new medical order, updated clinical information or forms.
- Contacts the client, physician office and sales representative to relay or obtain pertinent information and documentation to ensure continued coverage.
- Completes weekly follow up with physicians to obtain extension orders signed for existing patients. Interacts with sales staff or sales team as needed to obtain required documentation.
- Responsible for generation of all reorder requests based on initial expiration.
- Compiles submitted documentation to accompany claim submission.
- Review submitted medical orders for completeness and accuracy according to payer standards.
- Performs other duties as assigned by Management.
Required/Preferred Education and Experience
- High School Diploma Or equivalent required
- 3-5 years experience in medical insurance verification preferred and
- Experience working with all payer types to include Medicare, Medicaid and third-party commercial insurance companies. required
Knowledge, Skills and Abilities
- Strong negotiation skills.
- Superior communication, customer service skills and strong phone presence.
- Ability to handle multiple tasks simultaneously under strict deadlines.
- Proficiency in MS Excel, email programs and online data systems.
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
Working Conditions
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The noise level in the work environment is usually quiet.
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.
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.
ZOLL LifeVest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, status as a qualified individual with a disability, or any other protected class status.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
3 to 5 years
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