[Hiring] Veterans Administration Specialist @ZOLL Medical Corporation

Role Description

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

Qualifications

• 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 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.

Compensation

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.

Equal Opportunity

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.