Insurance Follow-Up Specialist

1 month, 2 weeks ago
Full-time
Senior
Operations
IVX Health

IVX Health

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They offer biologic infusion and injection therapies in outpatient centers with unique amenities like private suites and flexible scheduli...

Health Care Providers & Services
51-250
Founded 2013
$136M raised

Description

  • Investigate and resolve insurance claim denials, handling 50 to 100 denials per day.
  • Partner with payers to resolve claim 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 improve collections.
  • Provide phone support to patients, insurance companies, and internal teams.
  • Work in payer portals and clearinghouses to support efficient claim submission and follow-up.
  • Deliver timely and compliant follow-up to support revenue cycle goals.

Requirements

  • 5+ years of 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 Medicare portals, determinations, and appeals.
  • Proven success with Blue Cross payer collections, 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, including Outlook, Teams, and Excel.
  • Team-oriented with a proactive mindset and a focus on patient-centered outcomes.

Benefits

  • Remote work across the U.S. with optional hybrid work in Brentwood, TN.
  • Full-time schedule: Monday through Friday, standard business hours.
  • Competitive pay of $22 to $25 per hour.
  • Health benefits, including medical, dental, and vision coverage.
  • 401(k) retirement plan with company match.
  • Flexible savings options, including HSA and HRA.
  • Counseling and wellness support, including free well-being resources.
  • Education assistance, including tuition reimbursement, certification support, and CEU access.

Interested in this position?

Apply directly on the company website

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