Intake Specialist

Reference #: R13843

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.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed to deliver better insights and better outcomes. On any given day, clinicians utilize these ZOLL products for tens of thousands of cardiac patients around the world:

LifeVest, the world first wearable defibrillator, has been trusted to protect more than 1M patients at risk of sudden cardiac death.

HFMS (Heart Failure Management system) is a non-invasive, patch-based device that monitors pulmonary fluid levels and has been shown to reduce heart failure readmissions rates by 38 percent.

TherOx Super Saturated Oxygen (SSO2) Therapy is the first FDA-approved therapy since the stent 20+ years ago to reduce infarct size in patients with the most severe heart attacks.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.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.

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.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 SummaryThe Intake Specialist is an integral member of the reimbursement team and has primary responsibility for the timely handling of new medical orders from hospitals and physician offices. This individual is responsible for front-end functions of the order fulfillment process. Individual will work with numerous insurance types in reviewing medical orders and clinical documentation to determine benefit and clinical eligibility for the LifeVest. Individual is responsible for creating and maintaining relationships with insurance companies, sales reps, and other internal departments.Essential FunctionsCreation of patient record

Verification of benefits

Triage, work and resolve intake orders

Explain medical need and educate insurance case managers on LifeVest system to obtain authorization for services

Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination

Obtain authorizations as required by payer

Execute timely follow up on all assigned tasks

Maintain a score of at least Meets Expectations on monthly scorecard

Identify qualifying diagnosis based on payer requirements

Triage fax documents for timely review

Communicate authorization results and order status to sales representatives

Complete fee calculator and inform billing department of appropriate charges

Contact customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefitsRequired/Preferred Education and Experience

High School Diploma required

Associate's Degree or Bachelor's Degree in nursing, business, or other related field preferred

2+ years insurance verification experienceKnowledge, Skills and Abilities

Superior communication; both verbal and written

Strong customer service skills

Proficiency in navigating several software systems concurrently

Aptitude to han le 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 SuitePhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Standing - Occasionally

Walking - Occasionally

Sitting - Constantly

Talking - Occasionally

Hearing - Occasionally

Repetitive Motions - FrequentlyZOLL 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's 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.