Insurance Billing & Follow-Up Specialist

ZoomCare

. Work unpaid and partially paid insurance claims to resolve outstanding balances and secure accurate reimbursement according to payer guidelines .

Posted 10/6/2026full-timeUnited StatesJuniorMid-Level💰 $23 - $29 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing processes, including claim submission, denial analysis, and appeals management, while ensuring compliance with payer guidelines and maintaining accurate records. Strong analytical skills and attention to detail are essential for identifying trends and resolving discrepancies in a fast-paced environment.

Highest-signal resume keywords

Medical Billing ExperienceCPT, HCPCS, ICD-10 CodingElectronic Billing SystemsClaim Adjudication ProcessesAnalytical Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingClaim SubmissionDenial AnalysisAppeals ManagementCPT CodingHCPCS CodingICD-10 CodingClaim Follow-UpRevenue Cycle ManagementInsurance Reimbursement Methodologies

Soft Skills

Analytical SkillsProblem-Solving SkillsWritten CommunicationVerbal CommunicationAttention to Detail

Tools & Technologies

Insurance PortalsElectronic Billing SystemsBilling SoftwareRevenue Cycle Management Systems

Certifications & Qualifications

High School DiplomaAssociate’s Degree in Healthcare Administration or Related Field

Industry Keywords

Healthcare DocumentationPayer GuidelinesClaim StatusTimely Filing LimitsCompliance StandardsPatient-Facing Employee Vaccinations

About the role

Key responsibilities & impact

Work unpaid and partially paid insurance claims to resolve outstanding balances and secure accurate reimbursement according to payer guidelines
Research claim status using insurance portals, phone outreach, and written correspondence
Analyze denied or underpaid claims to identify root causes, trends, and corrective actions
Submit timely, documented appeals for denied claims in accordance with payer policies and procedures
Resubmit corrected claims with updated coding, documentation, or demographic information
Maintain accurate records of claim follow-up activities in the billing or revenue cycle management system
Collaborate with coding teams, clinical documentation specialists, and provider offices to resolve discrepancies
Monitor aging accounts and prioritize claims based on timely filing limits and payer response windows
Identify systemic issues or process inefficiencies and escalate concerns to management
Meet productivity and quality benchmarks while adhering to compliance and privacy standards
Perform other duties as assigned

Requirements

What you’ll need

Candidates must reside in Oregon or Washington
High school diploma or equivalent required
Associate’s degree in healthcare administration, Business, or a related field preferred
2+ years of experience in medical billing, with a focus on professional billing and accounts receivable follow-up
Solid understanding of CPT, HCPCS, and ICD-10 coding systems and their application in claim submission and reimbursement
Experience working with electronic billing systems and payer portals to manage claim status, denials, and appeals
Familiarity with insurance reimbursement methodologies, claim adjudication processes, and payer-specific requirements
Working knowledge of medical terminology and healthcare documentation
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
High attention to detail and accuracy, with ability to manage multiple tasks and meet deadlines in a fast-paced environment
All patient-facing employees must receive required vaccinations, including Hepatitis B, MMR, PPD, Varicella (Chickenpox), TD/TDAP, and all employees must receive COVID-19 vaccination as a condition of employment

Benefits

Comp & perks

Medical, Dental, Vision benefits
401K with employer match
Paid Time Off
Paid Holidays
Paid Parental Leave
Sabbatical Program
May be eligible for other compensation such as bonuses
Medical and religious exemptions or reasonable accommodations may apply for required vaccinations