Veterans Administration 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: LifeVest , 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. 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. Work Shift - Monday - Friday - 10:30 AM - 7:00 PM EST Job Summary The VA Specialist is an integral member of the reimbursement team and has primary responsibility for the timely handling of new medical orders from Veterans Administration Medical Centers, hospitals and physician offices. This individual is responsible for front-end functions of the order fulfillment process as well as order processing. Individual will work with Veterans Administrations Medical Centers, Hospitals, and outpatient physician offices 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 Veteran Administration Medical Centers, sales reps, and other internal departments. Essential Functions Creation of patient record Verification of benefits Obtain necessary documentation (medical order, clinical notes, testing) when appropriate Identify qualifying diagnosis based on payer requirements Contact National Notification line or local VA Medical Centers to confirm authorizations Communicate Purchase Order requirements to sales field Obtain initial & reoccurring purchase orders from VA Medical Centers Work resolve, and confirm intake orders Process Credit Cards for purchase orders issued by the VA Medical Center Complete Change of Benefits as needed from 3rd party payers to VAMC payer or VAMC payer to Other Health Insurance when applicable Execute timely follow up on all assigned tasks Review and complete assigned fax documents for timely credit card processing Maintain a score of at least Meets Expectations on monthly scorecard Contact customers, VA Medical Centers, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits Work closely with Coordination of Patient administration and Territory Managers Required/Preferred Education and Experience High School Diploma or equivalent required Associate's Degree in nursing, business, or other related field preferred Bachelor's Degree in nursing, business, or other related field preferred 1+ year working with the Veterans Administration preferred 3+ Years’ experience in the following: insurance verification and end to end processing of an order including billing of the account required Knowledge, Skills and Abilities Superior communication; both verbal and written Strong customer service skills and attention to detail Proficiency in navigating several software systems concurrently Aptitude to handle multiple tasks simultaneously under strict deadlines Superior organizational and time management skills Ability to communicate policy information in a clear and detailed manner Proficiency with MS Office Suite Attention to detail Ability to work under limited supervision with the ability to use independent judgement 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. #LI-KH1 The hourly pay rate for this position is: $20.00 to $25.00 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.