Compliance Analyst (431-547)
Location: Pittsburgh, Pennsylvania
Description: ZOLL Medical Corporation is currently seeking to employ Compliance Analyst (431-547) right now, this career will be situated in Pennsylvania. For detail informations about this career opportunity kindly read the description below. ZOLL LifeVest, a Pittsburgh-based subsidiary of ZOLL Medical Corporation, develops, manufactures and markets a wearable defibrillator for persons with Sud! den Cardiac Arrest (SCA) risk in the United States and Europe. The LifeVest is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition and while permanent SCA risk has not been established.
The LifeVest allows a patients physician time to assess their long-term arrhythmic risk and make appropriate plans. The LifeVest is lightweight and easy to wear, allowing patients to return to their activities of daily living, while having the peace of mind that they are protected from SCA. The LifeVest continuously monitors the patients heart and, if a life-threatening heart rhythm is detected, the device delivers a treatment shock to restore normal heart rhythm.The LifeVest is used for a wide range of patient conditions or situations, including following a heart attack, before or after bypass surgery or stent placement, as well as for those with cardiomyopathy or congestive heart failure that places them at particular risk! . The LifeVest is covered by most health plans in the United S! tates, including commercial, state, and federal plans.
The Compliance Analyst is an integral member of the reimbursement team and has primary responsibility to ensure compliance with all Centers for Medicare & Medicaid federal regulatory requirements. This is achieved by performing quarterly claims audits, working with internal and external staff to correct performance deficiencies, identifying internal areas for improvement, serving as a compliance contact and interpreting CMS requirements.
Essential Duties and Responsibilities:
Summarize and communicate regular audit updates to senior / executive management.
Documentation: Obtain necessary documentation (updated medical order, clinical notes, patient agreement, etc.)
Patient / Physician / Sales Interaction: Contact patient, physician office, and territory manager to relay and/or obtain pertinent information and/or documents.
Medicare Telephone Hearings and Administrat! ive Law Judge (ALJ) Requests: Submit request along with supporting documentation to CMS; track requests; follow-up with CMS on requests that have not been scheduled; prepare files for hearings and ALJ meetings, and participate in those meetings.Ability to manage multiple priorities and projects and meet deadlines;
Excellent oral and written communication skills;
Demonstrated experience developing and delivering training programs and making presentations to staff and providers.
Tracking / Monitoring audit activity
Performs other duties as assigned by Management.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.
Educations and/or Experience:
Bachelor's De! gree in Business Administration, Public Health, or Healthcare Administr! ation.
Prior Medicare DME billing / collections experience.
Superior communication and customer service skills, and ability to handle multiple tasks simultaneously under strict deadlines.
Proficiency in MS Office Suite.
Follow your aspirations to ZOLL Medical Corporation for diverse opportunities, competitive salaries, great benefits and a 401(k) retirement savings plan, all with a company providing the growth and strength to build your future. For immediate consideration, please forward your resume, including cover letter with salary requirements.
NO AGENCY CALLS PLEASE
ZOLL is an Equal Opportunity Employer
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to ZOLL Medical Corporation.
Interested on this career, just click on the Apply button, you will be redirected to the official website
This career will be opened on: Tue, 10 Sep 2013 09:21:27 GMT
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