CMS, Softaid.local

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:

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 Summary

Field based representative responsible for increased levels of revenue attainment and resolution of unbilled exception management with CMS physicians, other healthcare professionals and support staff.

Essential Functions

Work collaboratively with office staff/healthcare provider to bring patient’s scheduled activities to the staff’s attention to prevent a patient being lost to follow up by:

Prioritize competing objectives (patient’s plan of care, reorder documentation and possible end of use) to determine the best path forward for patient’s care.

Utilizing individualized analysis and the Plan of Care, proactively, to develop the patient’s next level of care.

Collaborate with TM/RM to ensure that a patient within a geography is receiving the appropriate level of care with minimal disruption.

Manage the follow-up process by working with other departments, such as National Accounts, as they work closely with payers to drive efficiencies within the payer’s environment.

Ensures timely processing of required paperwork to prevent delays in patient fitting, billing, and recovery of products.Prioritize documentation needs from Patient Exception Status report and identify timely procurement & submission of missing documents to Reimbursement Operations department including management of recurring revenue.Develop and master a full working knowledge of all 3rd party payer requirements in order to prioritize the outstanding needs based on those payer requirements.Effectively manage patients through Transition of Care by proactively engaging with staff and prescribers to determine if a patient should be moved to their next level of care. Collaborate with field sales to ensure that patients are receiving care only when needed.Provide ongoing education and training within hospital and office staff on medical order processing as well as documentation that is required by payers to continue use of LifeVest.Responsibility for improved Claims Billing yield within a defined geography consisting of assigned Accounts.Conduct monthly meetings with manager to review exceptions priority related to conversion of billable patients.Assist with departmental projects and special tasks when assigned (e.g., Pilot Teams).Achieves and maintains acceptable performance metrics.

Required/Preferred Education and Experience

High School Diploma /GED requiredBachelor's Degree From a four-year college or university or equivalent combination of education and experience in sales.Healthcare/Medical Device (Clinical or Billing) experience preferredExperienced ability to navigate Hospital and Clinic/Practice environments defined as proficiently navigating hospital flow, document collection, along with competent and confident provider and patient interaction.Ability to proactively plan and work autonomously in close collaboration and communication with othersA high sense of urgency and flexibility to one’s scheduleSuperior organizational skills with the ability to multi-taskProblem solving mentality, while being accountable for each task from beginning to end.Proficient working knowledge of MS Office (including Power BI, Excel, Word, Outlook) & Customer Relationship Management systems (Salesforce.com, Dynamics) is preferred.Effective team player who is also capable of working independently with strong self-motivation.Must have a valid driver's license

Knowledge, Skills and Abilities

Ability to proactively plan and work autonomously in close collaboration and communication with others.A high sense of urgency and flexibility to one’s schedule.Superior organizational skills with the ability to multi-task.Problem solving mentality, while being accountable for each task from beginning to end.Proficient working knowledge of MS Office (including Power BI, Excel, Word, Outlook) & Customer Relationship Management systems (Salesforce.com, Dynamics) is preferred.Effective team player who is also capable of working independently with strong self-motivation.

Travel Requirements

80% This job is a field-based position. Employee will be responsible for working daily in hospitals, doctors’ offices and other medical establishments within the assigned territory. Approximately 80% travel within a defined geography. Occasionally may be required work atypical hours (evenings and weekends) based on business needs.

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.

Standing - ConstantlyWalking - ConstantlySitting - FrequentlyLifting -Carrying -Pushing -Pulling -Talking - ConstantlyHearing - ConstantlyRepetitive Motions -Eye/Hand/Foot Coordination -

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'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.