Insurance Follow-Up Specialist

Responsibilities

• Investigate and resolve insurance claim denials with speed and accuracy-typically 50 to 100 denials daily.
• Partner with payers to resolve issues and secure timely reimbursement.
• Interpret LCD/NCD requirements and manage CPT/HCPCS-related denials.
• Coordinate with front desk and authorization teams to reduce delays and optimize collections.
• Provide top-tier phone support to patients, insurance companies, and internal teams.
• Work in payer portals (NaviNet, Availity, Medicare portals, and others) and clearinghouses to ensure efficient claim submission.
• Deliver timely and compliant follow-up to meet revenue cycle goals.

Requirements

• 5+ years' experience in healthcare billing, claims, or insurance follow-up.
• Strong knowledge of ICD-10, CPT, HCPCS, and payer policy nuances.
• Hands-on experience with Medicare collections for specialty drug coverage , including using Medicare portals and filing determinations and appeals.
• Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX preferred
• Experience working with Medicaid and other commercial insurance plans.
• Familiarity with reimbursement regulations, managed care contracts, and denial resolution strategies.
• Detail-oriented with strong analytical and critical thinking skills.
• Proficient in Microsoft Office Suite (Outlook, Teams, Excel, etc.).
• A team player with a proactive mindset and a passion for patient-centered outcomes.
• Why IVX Health
• IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis. We're redefining the care experience with an emphasis on comfort, convenience, and compassion .
• We believe the best patient experience starts with a great employee experience. That's why we foster a culture of respect, empowerment, and shared purpose-living out our values every day: Be Kind , Do What's Right , Never Settle , Make It Happen , and Enjoy the Ride .
• Whether you're face-to-face with patients or supporting operations behind the scenes, at IVX Health, your work makes a meaningful difference.
• Insurance Follow-Up Pay Range
• $22 - $25 USD
• About IVX Health
• Our Mission: To improve the lives of those we care for by redefining the care experience
• Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions
• Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
• Benefits We Offer
• Comprehensive Healthcare - Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
• Flexible Savings Options - Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
• Supplemental Protection - Accident, critical illness, and hospital indemnity plans to provide additional financial security.
• Dependent Care FSA - Pre-tax savings for eligible childcare and dependent care expenses.
• 401(k) Retirement Plan - S

Benefits

Additional Information

Remote (U.S.) | Full-Time | Monday-Friday | Standard Business Hours Hybrid Optional if Local - Office Located in Brentwood, TN At IVX Health, we're reimagining what exceptional care looks like-and that vision extends far beyond the clinical setting. Our Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. This Full Time role is part of our Billing Operations team and offers the flexibility to work fully remote or hybrid -with the option to work in-office if you're local and prefer it. We prioritize work-life balance and a culture of support, recognizing that behind every claim is a patient counting on us to make care happen. Note : This is a remote position open to candidates across the U.S. Local candidates may also opt to work from our Brentwood, TN office.

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