Field Reimbursement Specialist

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'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 Hours - 8:30 am - 5:00 pm PSTJob SummaryField based support to LifeVest reimbursement efforts by working collaboratively with partnered Territory Managers, ZOLL customers, National Accounts and reimbursement operations personnel to assist with reimbursement/managed care-oriented activities.Essential FunctionsCoordinates the authorization process with the hospital personnel, payer representatives and ZOLL reimbursement operationsProvides education on the LifeVest benefits & process to hospital case managers, payor case managers & other payor focused contactsMaintains customer profile data on the different layers of managed care contacts in geographyWorks in partnership with the National Accounts team to ensure that the Field Reimbursement Specialist activities support the managed care goals and objectivesResponsibilities include supporting reimbursement focused activities for field sales, proactively educating hospital and payor case management, preparing appropriate documentation packages for authorizations, and understanding and communicating the managed care flow of the geographyInitiate and follow up on Letters of Agreement with targeted payorsEducate hospital case management, physicians and physician offices on reimbursement best practices and initiativesCommunicates with field sales on reimbursement best practices and trends with designated payorsAvailable as point of contact for field sales and field sales leadership during reimbursement processAvailable/willing to work/travel weekends and eveningsRequired/Preferred Education and ExperienceBachelor's Degree or equivalent education and experience requiredCompleted a Registered Nursing Program or other equivalent clinical background requiredCase Manager or Resource Utilization experience preferredCardiology clinical acumen requiredKnowledge, Skills and AbilitiesComputer literate with the ability to learn proprietary softwareMust be proficient in Microsoft Office (Word, Excel, PowerPoint and Outlook)Must be able to comfortably navigate the internet as well as Payor websitesPhysical 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 - OccasionallyWalking

Created: 2026-04-04