Reorder Specialist

CMS 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 purpose 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. Duties and responsibilities 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. Qualifications Qualifications include: H.S. Diploma or equivalent required. Superior communication and customer service skills, and ability to handle multiple tasks simultaneously under strict deadlines. H.S. Diploma or equivalent required. 3-5 years experience in medical insurance verification or preferred Strong negotiation skills. Experience working with all payer types to include Medicare, Medicaid and third-party commercial insurance companies. 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. 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. Physical requirements 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. Supervisory responsibility None AAP/EEO Statement ZOLL is committed to fostering an inclusive workplace, where unique identities, backgrounds, cultures, perspectives and experiences are respected and valued. Equal Opportunity Employer – Disability and Veteran Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities will be reviewed periodically as duties and responsibilities change with business necessity. Essential and marginal job functions are subject to modification. ZOLL Medical Corporation appreciates and values diversity. We are an Equal Opportunity Employer M/F/D/V. ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990. ZOLL Medical Corporation, an Asahi Kasei Group Company, develops and markets medical devices and software solutions that help advance emergency care and save lives, while increasing clinical and operational efficiencies. With products for defibrillation and monitoring, circulation and CPR feedback, data management, therapeutic temperature management, and ventilation, ZOLL provides a comprehensive set of technologies that help clinicians, EMS and fire professionals, and lay rescuers treat victims needing resuscitation and acute critical care. For more information, visit www.zoll.com. The Asahi Kasei Group is a diversified group of companies led by holding company Asahi Kasei Corp., with operations in the material, homes, and health care business sectors. Its health care operations include devices and systems for acute critical care, dialysis, therapeutic apheresis, transfusion, and manufacture of biotherapeutics, as well as pharmaceuticals and diagnostic reagents. With more than 30,000 employees around the world, the Asahi Kasei Group serves customers in more than 100 countries. For more information, visit www.asahi-kasei.co.jp/asahi/en/.