Collections Specialist

CMS

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.

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:

* Life Vest, the world's 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.

* Ther Ox 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.

Job Summary

The Collections Specialist is responsible for working with insurance companies to facilitate the reprocessing of denied, incorrectly paid and unprocessed claims to result in a favorable return.

Essential Functions

* Provides outstanding customer service to both internal and external parties

* Utilize multiple software systems to follow current workflow processes to ensure timely follow up on assigned claims

* Contact patients, physician offices and insurance companies to relay or obtain necessary information and/or documentation to maximize reimbursement

* Resubmission of claims after identifying initial submission was not received or rejected by the payer

* Submits corrected claims to payer after making necessary edits on HCFA 1500 claim forms

* Write appeals to insurance companies to overturn denied or incorrectly paid claims

* Understand and resolve credit balances and write offs by submitting refunds, adjustments etc.

* Communicate pertinent reimbursement issues to leadership timely

* Monitor and manage assigned accounts timely to claim resolution

* Perform other duties as assigned by Management

Required/Preferred

Education and Experience

* High School Diploma required

* 2+ years' experience in a medical revenue cycle environment with a solid understanding of HCFA 1500 claim forms preferred

* Experience with Microsoft Office and navigating Windows software required

Knowledge,

Skills and Abilities

* A solid, intermediate background in Microsoft Excel

* Superior communication, interpersonal, and organizational skills

* Multi-tasking with a strong attention to detail

* A fast and resourceful learner with an eagerness to grow and adapt to daily challenges

Physical Demands

* 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 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.

#LI-KH1

The hourly pay rate for this position is:

$19.00 to $24.00

Factors which may affect this rate include shift, geography, skills, education, experience, and other qualifications of the successful candidate. Details of ZOLL's comprehensive benefits plans can be found at

Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.

ADA:
The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.