Insurance Claims Follow-Up Specialist

ZoomCare; Tigard (OR); Hybrid; USD 32,000 - 40,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K with employer match

Paid Time Off

Paid Holidays

Paid Parental Leave

Sabbatical Program

Bonus eligibility

Job summary

ZoomCare is seeking an Insurance Follow Up Specialist to join our team in Oregon. This role focuses on resolving outstanding insurance claims to maximize reimbursement and reduce accounts receivable days, through researching denials, communicating with payers, and submitting well-documented appeals.

You will work with our billing and coding teams, monitor aging claims, maintain accurate records, and ensure compliance.

Qualifications

• 2+ years of medical billing experience focused on professional billing and AR follow-up.
• Knowledge of CPT, HCPCS, ICD-10 coding and payer requirements.
• Experience with electronic billing systems and payer portals.
• Strong written and verbal communication skills.

Responsibilities

• Represent our values and follow up on unpaid or underpaid claims.
• Research claim status via portals, calls, and written correspondence.
• Identify root causes of denials and submit appeals per payer policies.
• Resubmit corrected claims with updated information to secure proper adjudication.
• Maintain thorough records in the revenue cycle system.
• Collaborate with coding, provider offices, and billing teams to resolve discrepancies.

Skills

Medical billing

Accounts receivable

Payer portals

Coding knowledge (CPT/HCPCS/ICD-10)

Communication

Analytical thinking

Attention to detail

Education

High school diploma

Associate’s degree preferred

Job description

ZoomCare is seeking an Insurance Follow Up Specialist to join our team in Oregon. This role focuses on resolving outstanding insurance claims to maximize reimbursement and reduce accounts receivable days, through researching denials, communicating with payers, and submitting well-documented appeals.

You will work with our billing and coding teams, monitor aging claims, maintain accurate records, and ensure compliance.