Insurance Follow-Up Specialist

2 weeks, 6 days ago
Full-time
Senior
Customer and Technical Support
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 approximately 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, including NaviNet, Availity, and Medicare portals, to support 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.
  • Proficiency in Microsoft Office Suite, including Outlook, Teams, and Excel.
  • A team-oriented, proactive mindset with a focus on patient-centered outcomes.

Benefits

  • Remote position with hybrid option for local candidates in Brentwood, TN.
  • Full-time schedule, Monday through Friday, during standard business hours.
  • Pay range of $22 to $25 USD per hour.
  • Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
  • 401(k) retirement plan with a competitive company match.
  • Health savings accounts (HSA) and health reimbursement arrangements (HRA).
  • Counseling and wellness support, including free resources for emotional, physical, and financial well-being.
  • Education assistance, including tuition reimbursement, certification support, and access to a CEU library.
  • Paid volunteer time off, matched charitable donations, and employee referral bonuses.

Interested in this position?

Apply directly on the company website

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