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ZoomCare
ZoomCare
501 – 1.000 Angajați
Asigurare de sănătateAsistență medicală
ZoomCare este un furnizor de servicii medicale din nord-vestul Pacificului, axat pe facilitarea accesului la îngrijiri medicale și pe creșterea confortului pacienților. Fondată în 2006, compania operează peste 50 de clinici în domenii precum serviciile medicale oferite în spații comerciale, îngrijirea urgentă, asistența medicală primară, îngrijirea de urgență și sănătatea digitală. Modelul său centrat pe pacient combină programarea online, consultațiile în aceeași zi și programul extins pentru a simplifica accesul la îngrijire.
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Locurile de muncă ale companiei

Insurance Billing and Follow-Up Specialist

Manage denied, unpaid, and underpaid insurance claims for ZoomCare, an urgent, primary, and specialty healthcare provider. Handle payer follow-up, corrected claims, appeals, and reimbursement resolution.

USStatele Unite ale AmericiiOROregonWAWashington
23 $ – 29 $ / oră
HibridNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăSpecialist în facturare

Descriere

  • Resolve unpaid and partially paid insurance claims by addressing outstanding balances and securing accurate reimbursement under payer guidelines.
  • Verify claim status through insurer portals, phone calls, and written correspondence.
  • Review denied and underpaid claims to determine root causes, recurring trends, and appropriate corrective actions.
  • Prepare and submit well-documented appeals within payer deadlines and procedural requirements.
  • File corrected claims with revised coding, supporting documentation, or demographic details as needed.
  • Record all claim follow-up work accurately in billing or revenue cycle management systems.
  • Partner with coding teams, clinical documentation specialists, and provider offices to investigate and correct discrepancies.
  • Track aging accounts and prioritize follow-up according to timely filing deadlines and payer response periods.
  • Escalate systemic problems and inefficient processes to management for review.
  • Achieve productivity and quality targets while following compliance and patient privacy requirements.
  • Complete additional duties as assigned.

Cerințe

  • Reside in Oregon or Washington.
  • High school diploma or equivalent required.
  • Associate degree in healthcare administration, business, or a related discipline preferred.
  • At least two years of medical billing experience, including professional billing and accounts receivable follow-up.
  • Working knowledge of CPT, HCPCS, and ICD-10 coding systems and their use in claim submission and reimbursement.
  • Experience using electronic billing systems and payer portals to track claims, denials, and appeals.
  • Understanding of insurance reimbursement methods, claim adjudication, and payer-specific requirements.
  • Working knowledge of medical terminology and healthcare documentation.
  • Strong analytical and problem-solving abilities.
  • Excellent written and verbal communication skills.
  • Exceptional attention to detail and accuracy, with the ability to manage competing tasks and meet deadlines in a fast-paced setting.
  • Patient-facing employees must receive required vaccinations, including Hepatitis B, MMR, PPD, Varicella, and TD/TDAP; all employees must receive COVID-19 vaccination as a condition of employment.

Beneficii

  • Medical, dental, and vision coverage.
  • 401(k) plan with employer match.
  • Paid time off.
  • Paid holidays.
  • Paid parental leave.
  • Sabbatical program.
  • May qualify for additional compensation, including bonuses.
  • Medical or religious exemptions and reasonable accommodations may apply to required vaccinations.

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