Company Overview
ZOLL Medical Corporation, a part of the Asahi Kasei Group, develops and markets medical devices and software solutions aimed at advancing emergency care, saving lives, and improving both clinical and operational efficiencies. Their product offerings include technologies for defibrillation and monitoring, circulation and CPR feedback, data management, therapeutic temperature management, and ventilation. ZOLL provides a comprehensive suite of solutions that enable clinicians, EMS and fire professionals, and lay rescuers to provide critical care and resuscitation to those in need.
The Asahi Kasei Group, a diversified conglomerate led by its parent company Asahi Kasei Corp., operates across the materials, housing, and healthcare sectors. Its healthcare division includes devices and systems for acute critical care, dialysis, therapeutic apheresis, transfusion, biotherapeutics manufacturing, pharmaceuticals, and diagnostic reagents. With over 30,000 employees globally, the Asahi Kasei Group serves customers in more than 100 countries.
About the Job
At ZOLL, our mission is to enhance patient outcomes and help save lives through cutting-edge medical innovation.
We develop and deliver advanced medical devices, software, and services used globally to diagnose and treat patients with serious cardiopulmonary and respiratory conditions. Our solutions are designed to make a real difference in people’s lives.
ZOLL Data Systems, part of the Acute Critical Technology (ACT) division of ZOLL Medical Corporation, offers healthcare software solutions that support hospitals, EMS, fire departments, and revenue cycle teams. Our goal is to enable better patient care, greater operational efficiency, and improved revenue performance. Through data-driven innovation and seamless system integration, we help clients reach new levels of care delivery, collaboration, and financial reimbursement.
Position Summary
This role focuses on resolving aged accounts and requires strong denial management experience across multiple states—and occasionally internationally.
Candidates must have experience in Revenue Cycle Management. Strong professional communication skills are essential for interacting with colleagues, payors, and management. Previous experience in ambulance transportation billing is preferred.
Key Responsibilities
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Denial Management: Investigate claim denials and take corrective actions within appropriate federal, state, and payor guidelines.
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Trend Analysis: Detect recurring patterns in underpayments, denials, or system errors and report them.
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Payor Escalation: Navigate and interpret payor rules and escalate issues when necessary.
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Appeals & Resolutions: File appeals or reopenings when appropriate, based on payor-specific criteria.
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Claim Follow-Up: Monitor account status via payor portals or clearinghouses and take follow-up actions as needed.
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Unapplied Payments: Identify and apply payments accurately to corresponding accounts.
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Phone Inquiries: Contact payors or patients to obtain missing information or resolve claim issues.
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Medical Records: Secure required documentation from healthcare facilities for claims processing.
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Insurance Policies: Understand current payor policies to guide appropriate claim resolution.
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Overpayment Processing: Handle or appeal refunds according to legal and policy guidelines.
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Legal & Subrogation Requests: Ensure HIPAA compliance when managing attorney requests across state lines.
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Coordination of Benefits: Assess eligibility and determine primary and secondary payors; understand Medicare guidelines.
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Patient Interaction: Address patient questions, process financial assistance, or set up payment plans per policy.
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Documentation: Maintain detailed, clear records of all account-related activities.
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Performance Standards: Meet productivity and quality benchmarks in a fast-paced environment.
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Other Duties: Perform additional responsibilities as assigned.
Qualifications
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Ability to interpret Explanation of Benefits (EOBs)
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Skilled in Microsoft Excel, Word, and Adobe Acrobat (or similar PDF editing tools)
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Experience with HCFA 1500 and UB-04 claim forms
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Familiarity with contracted and non-contracted payer behaviors
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Ability to type 45 WPM and use 10-key efficiently
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Strong knowledge of medical terminology and office procedures
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Confident communicator with insurance companies and patients
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Legally eligible to work in the U.S.
Preferred Experience
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Minimum 3 years in the medical reimbursement field
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Previous ambulance billing experience highly valued
Compensation
Hourly wage: $20 – $23, depending on location, experience, education, and skills.
Diversity & Inclusion
ZOLL Medical Corporation and Golden Hour are committed to creating a diverse and inclusive work environment. We are proud to be equal opportunity employers. All qualified applicants will receive consideration regardless of race, color, religion, national origin, gender identity, age, disability, veteran status, or any other protected status.